Reinhardt:
I jumped ship entirely and went into the equipment leasing (banking) business. Its definitely not as exciting but the health and education benefits are much better.
Sorry to hear about your luck with the English services. A friend of mine there has been trying to get an ambulance job for quite a while. There is apparently a long waiting list and few openings.
Is there a Red Cross organization in Portugal? That might be a start for training.
Chris