All I can speak about is US Offshore, you work 14 days on and 14 days Off. Is it traditional EMS? NO. Its more like clinical work with your own little hospital. Depending on your employer, your accomodations is the near the best on the platform. Safety is usually a big part of your job and is just as rewarding as working the "truck". It is not for Adrenaline Junkies by no means, If you are still stuck in the "Lights and Sirens" phase of your career, then you will probably not make it. Hope this gave you some insight.