I have thought about applying there, I am not yet a paramedic but almost a emt-I. when I am A paramedic i want to be able to use my skills and be in charge of the scene like a medic should be. I know it will be great experience but not if fire is in charge of everything then takes all the good calls. They are talking about fire getting out of EMS or taking over completely down there.
They've been talking about that for years, nothing has ever changed.
I know lots of people that do or have worked for all three companies you talked about, I may or may not work/have worked for one of them.
Most loved AMR or MW but a few couldn't get out of there fast enough. I know guys that wanted to go back to Vegas from Reno and visa versa.
It's farking hot in Vegas, no thank you.
Any of those companies would be good for a new medic, REMSA you'll run the show more but there will be times in Vegas that you do as well. Call volume per unit is about the same, there's just twice as m any units down there if not more. I've been told by someone that dispatched for AMR that they generally deploy~ 40 units daily but that's just word of mouth so take it for what it's worth.
Vegas has its own OEMS, well Clark County does. They do sketchy etomidate only MAIs, hellllllooooooooo trismus. Other than that they have pretty standard protocols, not ground breaking but not insanely restrictive either. Same goes for REMSA, just no MAI in Northern NV for paramedics.
Good luck!