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In recent years, several high-profile police incidents have resulted in law enforcement and civilian injury, prompting the development of tactical emergency medical support (TEMS). This concept was adapted from the military. During World War I, nonmedical personnel were assigned to the trenches to treat wounded service members. In World War II, these personnel were placed directly into combat and evolved into the combat medic role recognized in the modern military. This combat medic framework was subsequently adapted for civilian police teams. The Tactical Combat Casualty Care (TCCC) guidelines used by the military were first modified for the civilian environment in 2011. (Source: Callaway, 2017) TEMS teams are trained to adapt to evolving hostile environments and deliver care under such conditions. (Source: Granholm, 2024) In addition to basic emergency medical services (EMS) skills, providers require proficiency in multiple disciplines, including wilderness medicine, chemical, biologic, radiologic, nuclear, and explosives (CBRNE) exposures, hazardous material exposure, casualty evacuation, medical evacuation, and additional operational skills.[1] Care and evacuation in the TEMS setting differ substantially from practices in the civilian EMS realm.[2][3][4]