I feel either one can come first. If you're working alot like I do some pays 60 to 110hrs of ot that could burn you out. But if you get a messed up call before you get burned out; it's adds fuel to the fire.

It is present both physical and mental. PTSD for me is from all the crazy thing we see in are jobs. Burnout is working way to much and pushing your self way to far. I feel PTSD and burnout are not the same. But PTSD can lead to burnout.

Burnout.... I know what that is every well. The few ways that i see it is. One the person will start to have a short temper, you will catch the person falling alseep when they normally don't( at computer ect.), or start to make little mistakes they normally don't make. These are the one's that i see and that i also do when i get burned out.