This literature review examines the psychological well-being of Emergency Medical Services (EMS) personnel in prehospital settings, highlighting the unique challenges they face and the support mechanisms available to them. EMS personnel are subjected to high levels of occupational stress due to frequent exposure to traumatic incidents, irregular work hours, and a prevailing culture that stigmatizes mental health discussions. These factors contribute to increased risks of burnout, anxiety, and post-traumatic stress disorder (PTSD). The review synthesizes qualitative and quantitative research to identify key stressors, including long shifts, inadequate social support, and the emotional toll of their work. It also emphasizes the importance of organizational support, peer support programs, and access to professional counseling as vital components for enhancing mental health outcomes. Addressing gaps in the literature, such as underrepresented populations and the need for longitudinal studies, this review underscores the necessity of comprehensive mental health strategies tailored to the unique experiences of EMS personnel. Ultimately, fostering a supportive work environment is crucial for improving job satisfaction and the quality of care provided in emergency situations.