Running on 4 hours of sleep and need to go to bed, so I didn't catch your question.
At the firehouse we dealt with it by making lots of jokes, after the fact and in between calls. And the camaraderie helped, too. Everyone had your back, and you had theirs.
I couldn't do hospice, because the outcome is always the same, and it is a slow, agonizing and depressing process.
Being an EMT, you never knew what you were going to get, and every day was different. Plus, you disconnected from the ones who were lost, and focused all you had on the ones you could save. And when you helped do that, it was most satisfying.
The hardest cases to deal with mentally were the kids. I remember being a rookie and having to do ER rounds. I had to hold down a 4 year old who was screaming his head off as the doctor stitched up a cut he had gotten banging into the coffee table.
I did great, until it was over, and then promptly went to the other room and almost passed out.
I got laughed at and they gave me orange juice