Tasmanian paramedics say ambulance ramping is causing them widespread and undeniable psychological harm which could result in catastrophic consequences if nothing is done to address their concerns.

Ambulance Tasmania CEO Neil Kirby received a letter from paramedics in the state’s south outlining the current situation that they’re calling an “unmitigated crisis” where there is ambulance ramping and overcrowding at the Royal Hobart Hospital.

The paramedic who wrote the letter to Mr Kirby on behalf of his colleagues says he is genuinely concerned for the welfare of his colleagues and fears that without swift and decisive intervention the consequestions could be catastrophic with paramedics saying they are experiencing stress induced anxiety and insomnia.