The problem is that St. Petersburg Fire and Rescue (SPFR) has experienced a thirty-three percent attrition rate or firefighter paramedics since 1996, including a significant increase in the rate of attrition for 2007, creating organizational difficulty to manage and provide Emergency Medical Services. The purpose of this study was to critically analyze current levels of job satisfaction for firefighter paramedics employed by SPFR and to make recommendations for improved retention. Descriptive research is used to answer five research questions intended to discover what the literature suggests influences job satisfaction and to measure differences between firefighters and firefighter paramedics. A survey was created to gather data on job satisfaction for all firefighters and firefighter paramedics.T-test, ANOVA, and Pearson's correlation matrices were used to identify differences between responses and classifications. Results found that there is a statistically significant difference in aggregate response by firefighter paramedics. Recommendations concerning job enrichment and organizational equity for the firefighter paramedic group were presented.