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Try a pair on and see what you think. You'll be surprised. I wear 5.11 ATAC shield boots and the composite toe is certainly doesn't add much noticeable weight nor does it conduct cold. However, when a rescue tool was dropped on my toes at an MVA, I was able to tell the firefighter, "no big deal". Again, it's a risk vs benefit thing. If your department doesn't require a safety toe, and you don't want to wear them, don't.
But saying "it's not something to worry about in the EMS world" is 100% false, and that my toes are unbroken is a testament to that.
Back in the day we were required to wear steel toes. I'm clumsy as it is. I couldn't imagine working a shift and not wearing them.