Not OP, but there are dozens of us. If you might be interested in things like ski-patrol or guiding.. there's loads of related NOLS certificates besides WEMT / WFR for things like avalanche, cold-water rescue, high-angle rescue. It differs by location, but something like EMTB cert often requires a "intern" type of deal with ride-alongs and intubation IIRC, which may or may not be scary, but just the schedule of it can be harder for people with another career. Meanwhile your friendly local search and rescue may need help, and many of the more casual certs are very helpful, and knowing some of this stuff is just good civics.

Generally first aid/ CPR is the basic medical requirement, but they will teach you that. EMT or higher is absolutely useful though.

Like OP and others, it would be great if there were better volunteer opportunities in big cities. Lmk if you want to start something.

> How do you balance keeping the skills sharp while working another job full time?

I don't! I've been volunteering with my current service for ~2yrs, and I still don't feel like a very "smart" EMT. It's coming, but slowly. And I'm trying to do more shifts (e.g. every week).

I simply try to "manage" my stupidity. I usually ride with a more experienced EMT, and any very-big calls will get a medic; I focus on learning & asking questions when it's appropriate; I try to drill _something_ every shift. If I really wanted to learn quickly, I'd take a few weeks off and run with AMR in a city... that definitely gets the calls.

> Also, I’m 38, so I tend to feel too old.

That's one of the biggest reasons I delayed. I felt too old at 29 & worried I would be out of place. FWIW, I think the class after us had an average age of ~35, so you might fit in more than you expect.

I resonate with wanting to be good, though. I think about it every time I get a call. My counterargument is (a) that 1 month of training is 1 month more than most folks have, and (b) in an emergency, you're always part of a team.

Even if you just fetch the stairchair.