Emergency medical technicians (EMTs) are a critical segment in prehospital medical care. This study examined EMT-paramedic career success focused on minorities and women, as part of the Longitudinal Emergency Medical Technician Attributes and Demographics Study (LEADS). The LEADS data come from a representative sampling of EMTs throughout the United States. Analyses examined factors related to objective and subjective career success and did so with samples from 2000 and 2004. Regression results showed that education, experience, and hours worked predicted objective career success. In contrast, satisfaction with others and with supervisor predicted subjective career success. Minority status was not related to either objective or subjective career success, while gender appeared to have a negative influence on objective career success but was unrelated to subjective career success. Implications for HRD practitioners and researchers are discussed. (Contains 3 tables.)