Tactical Medicine

For members of the community that provide care under fire. SWAT, ERT, QRT, whatever team you're a part of.

Members: 325
Latest Activity: Jun 27, 2016

EMS Discussion Forum


Started by Mike Massaro Jun 21, 2016.

Building Tactical Medic Program from Nothing!!! 9 Replies

Last reply by carl w french Sep 20, 2012.

Creating a Virginia Tac Medic Association 6 Replies

Last reply by Michal Czerwinski Jul 3, 2011.

CCP Security

Started by Val Bilotti Feb 24, 2011.


Started by David Crowley Jan 10, 2011.

Accredited TCCC Program 4 Replies

Last reply by Christopher Van Houten Nov 29, 2010.

Tips and Tricks of the Trade 13 Replies

Last reply by Paul Garcia Sep 6, 2010.

Comment Wall


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Comment by Adam Cole Napiorkowski (R2) on January 31, 2016 at 7:01pm

My company is strongly looking into the community paramedic program currently, so, hopefully once that gets rolling maybe we can get the ball rolling elsewhere.

Comment by Kevin Lau on January 31, 2016 at 6:25pm

Yeah, I am in contact with some military personnel and special operation medics. I am still working out the kinks in that. I hope your program starts out good. I know the EMS agency that I used to work for started a TEMS program from nothing. Now one of the co-founders is an instructor somewhere else. I do not know how much he keeps up with that stuff nowadays. 

Comment by Adam Cole Napiorkowski (R2) on January 31, 2016 at 6:18pm

We're still looking at what we could do as well, I work for a private community hospital, our service covers the county seat and parts of the county. We would have to poster it as another community program so we still have an uphill battle. There are protocols out there that may help as we'll. I found some through CONTOMS and a company I took a private emt t course through. As for the gear for what officers should carry, some of our guys with the badges carry a pack just for themselves just like military do. Maybe look into the military side of it as well.

Comment by Kevin Lau on January 31, 2016 at 5:45pm

Hi Adam, 

Well, I haven't done too much yet. My Lt. wanted to me to come up with a list of items that "we" should buy to put in our patrol cars and on our officers. These items will be for everyday carry and also on high-risk situations. As far as setting up a TEMS position, I am still unsure if that'll happen. I know the district commander in this region was inquiring about how many EMT's and paramedics we have, I am not sure what direction he wants to go in. However, I am gathering things that I would need to discuss with the Chief to get the program started. 

I used to be contact with the medical director several federal agencies out of Johns Hopkins. I have not heard from in awhile though. 

However, I am looking for gear to carry the supplies and the general ideas what to carry on the person and in the bag. I got a running list started on a Word document, but it's pretty standard. TQ's, hemostatics, NPA's, OPA's, chest seals, simple bandaging perhaps. Then the actual bag in the cards would consist of SAM splints, additional bandages, extra chest seals, etc. 

The bag that I would carry would have more. Another Lt. said to notify our purchasing person to give a list of things that I want to carry. The night shift Lt. was pretty eager to getting me whatever I needed. I explained to him about needing medical direction prior to doing anything other than BLS. I am working on getting hired with a local EMS service. 

The weird thing about Wyoming is that they are relatively new to the use and idea of paramedics. The county that I live in, Fremont County, has only had paramedics for nearly 2 years. So that is something that they are still working out in their protocols, let alone starting a TEMS program with the current medical director, who is a surgeon and no ER experience. So that is frustrating in itself.

Any ideas, I am all for it. I rather have plan ready to go when the times comes. 


Comment by Adam Cole Napiorkowski (R2) on January 31, 2016 at 4:47pm

Hey Kevin, I would certainly talk about it as I'm trying to get my service on board with providing TEMS. I just live in NC. What have you done so far with your idea(s)?

Comment by Kevin Lau on January 31, 2016 at 4:32pm

Hello everyone,


I do not know if this groupis still active. Nonetheless, I am a police officer for the Department of the Interior, Bureau of Indian Affairs - Office of Justice Services. Prior to law enforcement, I was a full-time paramedic with TCCC, CC, ACLS Instructor, PALS Instructor, and BLS instructor.


Anyways, I was seeing if there is anyone up in Wyoming that I can bounce some ideas off of and see what type of training or communication there is in this state.


Thank you!

Comment by Paul Garcia on May 25, 2013 at 11:27pm


An Evansville police officer stepped in to help a man mauled by a dog. He used a relatively new piece of equipment, a combat tourniquet to control severe bleeding. 

The Evansville Police Department now has 300 tourniquets that cost $25 a piece.

But those thousands of dollars didn't come from the department's budget, instead the EPD Foundation footed the bill.

One of those tourniquets was used just a few days ago, last weekend, on West Delaware Street.

"When we got up there, the guy was laying in the yard..," Officer Kevin Mason says.

23-year Evansville police veteran Kevin Mason says that man in the yard had been attacked by a dog in the 1300 block of West Delaware.

"He had several wounds to his arm which was bleeding profusely. His chest had a large wound and his leg had a large wound," Officer Mason says.

So, Officer Mason made a quick decision. He got out his combat action tourniquet and put it on the bleeding victim.More

Comment by Brian Foy on January 8, 2013 at 7:36pm

Anything new in the Tactical Medical world. Seems awful quiet in light to world events! Be safe...

Comment by Michael Lee Reisman Maj-Ret RNNP on March 11, 2012 at 1:53am

Learn from my lesson. Most of you folks are Law Enforcment and or military where honor/honesty is a virtue. The Dark Side of Medicine in Las Vegas.

Please check out my you tube it's only 5 mins long
Comment by Sam Bradley on March 8, 2012 at 6:09pm

I've recently become a board member and secretary of the Coalition for Tactical Medicine (CTM). We'll be providing information on tactical EMS training and offering scholarships when this is all put together. I'd love to know what things you would consider for a minimal level of competency. Let me know what you think of the site.


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