If you're interested in this field, consider remote work; wilderness, expeditions, offshore. Potentially much more interesting than city work and scope of practice around the world differs, so there is sometimes the opportunity to be more involved.

Have a look at the Award in Remote Emergency Medical Technician[1] from the College of Remote and Offshore Medicine. It's 75 hours of online study, then a 6 day course in their classroom in Malta (another 50 hours). Afterwards you'll hold a recognised European tertiary qualification, but you'll still have to sort out local registration.

The AREMT course is actually also the first module in their full BSc in Remote Paramedic Practice programme.[2]

[1] https://corom.edu.mt/award-in-remote-emergency-medical-techn...

[2] https://corom.edu.mt/bsc-in-rpp/