Quiet paramedic left by one cold and chaotic (9)
I believe the answer is:
shambolic
'chaotic' is the definition.
(I've seen this before)
'quiet paramedic left by one cold' is the wordplay.
I cannot really see how this works, but
'quiet' could be 'sh' ('sh' is used to tell someone to be quiet) and 'sh' is found within the answer.
'left' could be 'l' (common abbreviation) and 'l' is found in the answer.
'one' could be 'i' (Roman numeral) and 'i' is located in the answer.
'cold' could be 'c' (eg on taps) and 'c' is present in the answer.
The remaining letters 'ambo' is a valid word which might be clued in a way I don't see.
This may be the basis of the clue (or it may be nonsense).
'and' acts as a link.
Can you help me to learn more?
(Other definitions for shambolic that I've seen before include "Chaotic and inefficient" , "Disorderly" , "Chaotic, mismanaged" , "all over the place?" , "In a total mess" .)