Hmmm perhaps you are going for the pissing match, in which case we can compare 40 or 80 hour merit badges to nursing certifications (some EMS alphabet soup are comparable).
Or we could stick to my point which is avoid any alphabet soup. The #1 RN forum on the net does NOT let users put the alphabet soup like
Supernursy MSN BSN AS RN CCRN-CSC-CMC CEN CFRN RN-BC VA-BC Paramedic WEMT
in their user title. They only allow highest academic degree, license, and, as a non-nursing bonus, EMS LEVEL. So the above is simply:
Supernursy, MSN, RN, Paramedic
Here we should use:
Docmedic, DO, Paramedic
Anyone can put what they want in their signature...