Tactical Emergency Medical Support (TEMS)
The Regional EMS Authority has trained and placed a highly experienced group of paramedics with local police Special Weapons and Tactics Teams (SWAT). This team is comprised of 8 specially trained, tactical paramedics and nurses, as well as a team leader and team commander, who operate under an expanded scope of practice, overseen by the REMSA Medical Director. The team provides advanced emergency medical care while on scene during police activities to injured officers, hostages, suspects, and the general public.Begun in 1997, the TEMS (Tactical Emergency Medical Support) team has responded to 96 call outs and participated in 190 trainings in the past two years.
Equipped with special medical gear, team members attend all SWAT trainings and call-outs. Team members are required to maintain the same excellent physical condition as all other SWAT team members.
Tactical Paramedics areas of expertise include:- Preventative medicine for SWAT members (pre-event medical exams, 12 lead ECG screening, nutrition and hydration logistics).
- Medicine for extended operations.
- Clandestine drug laboratory raids and their medical affects.
- Care under fire / Tactical combat casualty care.
- Medical care in barricade situations.
- Medical planning and intelligence.
- Wounding effects of lethal and less-lethal weapons.
- Crime scene preservation.
- Weapons of mass destruction (WMD) / terrorism incidents.
- Active shooter / school shooting incidents.
- Sparks Police Department SWAT
- Washoe County Sheriff's Office SWAT
- Reno Police Department SWAT
- FBI
- Secret Service
- DEA
- ICE
- US Marshals
- Rural police agencies in the Northern Nevada and Northeastern California area

