NTOA endorses and supports the incorporation of a well-trained and equipped Tactical Emergency Medical Support (TEMS) element into all tactical teams. Tactical Emergency Medical Support is the provision of preventative urgent and emergent medical care during high-risk, extended duration and mission-driven law enforcement special operations.

The ability of TEMS providers to develop medical threat assessments, render immediate medical care in austere environments, and provide logistical support will further the health and safety of law enforcement personnel and reduce the incidences of injury, illness, disability and death associated with training and tactical operations.

TCCC Guidelines with NTOA TEMS editor's comments.

NTOA offers the following courses:

STORM® - Specialized Tactics for Operational Rescue and Medicine

The STORM family of tactical medicine training programs teach Tactical Combat Casualty Care (TCCC) principles and techniques in an effort to prevent casualties and fatalities in tactical and austere environments.

STORM classes are tailored to the Operator, Medic, Medical Director and Commander. Each course consists of classroom didactics, hands-on skill stations and scenario-based training to prepare students to safely and effectively handle medical emergencies in tactical and austere environments.

STORM Operator is a two-day, 16-hour course primarily designed for tactical officers and personnel who have no medical training.

STORM Medic is a four-day, 32-hour course, which requires at least an EMT-Basic level of training as a prerequisite. This course is intended for medical personnel who provide operational medical support directly to a tactical team.

STORM Medical Director (under development)

STORM Commander (under development)

Courses may be tailored to meet specific agency needs (i.e. TEMS start-up).

For more information, contact the NTOA Training Department at

800-279-9127 ext. 2