This topic is about pursuing a career in emergency services while living with a colostomy bag. The person who started the discussion is studying paramedicine and volunteers with the Rural Fire Service. They were turned down for a firefighter position because of their colostomy bag and are concerned about future job prospects as a paramedic. They are seeking advice from others who might have experience working in emergency services with a stoma.

Here are some helpful insights and advice shared by others:

1. Disclosure considerations: It's important to check whether you need to inform your employer about your colostomy. The rules can vary, so it's a good idea to verify what's required.

2. Obtain formal medical clearance: A firefighter from the Victorian Country Fire Authority suggests getting a letter from your surgeon. This letter should reference the AFAC Firefighter Medical Classifications and confirm your fitness for duties like using breathing apparatus and internal structure attack. This kind of documentation could also be useful when applying to Ambulance NSW.

3. Real-world precedent: One person shared that they have had a colostomy since 2003 and have been working as a federal police officer since 2010. They completed the Federal Law Enforcement Training Academy without any medical issues, showing that a career in emergency services is possible.

4. Hernia prevention and gear: A retired law-enforcement officer who now works in executive protection mentioned the risk of hernias from lifting gurneys repeatedly. They recommend using strong support belts designed for ostomy patients to help reduce strain.