Episode 32: Legacy in the Making: Joshua Cote on Loss, Mental Health & Life in EMS

At just 16, Joshua Cote began serving his community as a volunteer firefighter in Maine—never expecting the journey would shape not only his career but his mental health and personal identity. From early success in SkillsUSA to becoming a full-time paramedic in 2016, Josh has seen both triumph and tragedy. In this powerful episode, Josh opens up about losing his mentor to cancer, his captain to a stroke, and a close lieutenant to suicide—all within a short time span. He also shares his diagnosis of MDD, later Bipolar Disorder, and how it’s impacted him as a responder and a human being. Through it all, Josh has remained committed to making a difference—and dreams of mentoring the next generation of EMS professionals. This episode is raw, honest, and a reminder that even in the darkest moments, there is still purpose to be found. Trigger Warning: This episode discusses suicide and mental health challenges.