Tactical Emergency Casualty Care

Tactical Emergency Casualty Care (TECC) teaches EMS practitioners and other prehospital providers how to respond to and care for patients in a civilian tactical environment. It is designed to decrease preventable deaths in a tactical situation.  The course presents the three phases of tactical care:

Direct Threat Care that is rendered while under attack or in adverse conditions.
Indirect Threat Care that is rendered while the threat has been suppressed, but may resurface at any point.
Evacuation Care that is rendered while the casualty is being evacuated from the incident site. 

The 16-hour classroom course covers the following topics:

  • Hemorrhage control;
  • Surgical airway control and needle decompression;
  • Strategies for treating wounded responders in threatening environments;
  • Caring for pediatric patients; and
  • Techniques for dragging and carrying victims to safety.
  • Live action scenarios


This class is presented in partnership with the Department of Defense Stop the Bleed Campaign and The Committee for Tactical Emergency Casualty Care.


Tactical Operations Medical Support

​The Tactical Operational Medical Specialist Course (TOMS) has built an international reputation for excellence. It attracts Trauma Physicians, Paramedics, EMTs, Firefighters, and Police Officers from all over the world.

The course is presented by Mid-America Safety Services LLC

in partnership with local, state, and

federal law enforcement agencies as well as

private and not for profit organizations.

The course includes the NAEMT TCCC or TECC 

as it is still the recommended certification for

tactical (SWAT) medics.  Additionally, all participants

who complete the course will receive the M.A.S.S.

Tactical Operational Medical Support course

completion certificate.

This event is an accredited educational product, and continuing education credit is available for all disciplines,

First Aid, EMR, EMS, FIRE, and Law Enforcement.  M.A.S.S. approved CE is accepted by the National Registry of EMTs.  Also, it is accepted in some states as POST credit.  For FIRE credit, if your state follows the IFSAC model for the Firefighter I & Firefighter II curriculum.

Course Description
This International, 50+ hour, 5-day total immersion course in Tactical Operational Medical Support is open to the EMT Basic and above to educate, train and prepare them to operate within a tactical law enforcement environment.

This course is medicine based and does perform live fire exercises. It is an excellent course for current practicing tactical medics to use as a refresher and continuing education course.  You are encouraged to bring your gear to wear during the course. 

The course includes the NAEMT Tactical Combat Casualty Care Certification (TCCC) or NAEMT Tactical Emergency Casualty Care Certification (TECC) curriculum, a 4 year certification.  The TOMS course is more than a just a training course.  It is an educational product accepted for Continuing Education credits in EMS, Fire (Firefighter I and II), and law enforcement (P.O.S.T).  The National Registry of EMT’s accepts CE credits.

Course Topics
Introduction to TEMS/TOMS
Administrative Issues
Threat Stress Management
Operator Wellness and Fit Assessments
NAEMT Tactical Combat Casualty Certification Curriculum
MTA, Site Survey, and Documentation
Extended Operations/Expanded Scope of Practice
Asset and Resource Management
Remote Assessment Methodology/Sensory Deprivation
Tactical Assessment /Triage/ Movement
Veterinary Medicine for the LE K-9
Handler Down Rescue and K9 Control Techniques
Response to Active Shooter/Threat Mass Casualty Incidents
Officer/Operator Rescues and Ballistic Shields use in tactical medicine
Chemical Agents in SWAT/CBRNE / WMD / Clandestine Drug Labs
Distraction Devices and Blast Injuries
Medicine Across the Barricade
Tactical Airways
Less Lethal Weaponry – TASER and Specialty Impact Munitions and Associated Injuries
Searching/Weapons/Handcuffing
Crime Scene Evidence Preservation
Force on Force Scenario Based Training Exercises
Combat Pistol and Rifle (Live Fire)
Defensive Tactics (Hand to Hand)




Tactical & Emergency Vehicle Operations

No matter if its defensive driving for Law Enforcement, Security Company, Executive Protection, or Emergency Medical Services, M.A.S.S. offers a driving class for you.  We employment the use of several Nationally recognized curriculums and certifications.  In this class participants will learn:

 “Swerve to avoid” maneuvers at highway speeds
Ocular driving techniques (focus your attention on a positive goal such as an escape route, rather than a problem such as a tree or another vehicle)
Understanding vehicle dynamics and feedback
Skid control and recovery practice on a dedicated skid pad and on a slalom course
Threshold braking on straights and progressive braking on curves
Off-road recovery
Navigate unpredictable traffic
Negotiate intersections
Maintain a stable platform for medics and patients 

S.H.O.T

Shock, Hemorrhage, Operational Tactics  

Many civilians have expressed interest in taking a bleeding control training course that would empower them to immediately assist victims of active shooter and other intentional mass casualty events at the point of wounding, according to results of a new national poll published in the Journal of the American College of Surgeons. Furthermore, the vast majority of civilians support training and equipping police officers to perform severe bleeding control on victims as soon as possible rather than wait for emergency medical services (EMS) personnel to arrive on the scene. There’s also strong public support for putting bleeding control kits in public places where large crowds gather, similar to the way that automatic external defibrillators are now found in airports and shopping malls for use by responders who have undergone cardiopulmonary resuscitation training.


This class is structured as either a four or eight hour class, depending on your needs.

CALL US  +1.662.292.6398
Mid-America Safety Services