top of page


Certified Tactical Operations Medical Specialist


{wait bar}


Travel Training Package Available:

Don't see a class near you?  Contact us for special travel packages to attend this class!

Class Overview:
The Tactical Operators Medical Specialist Course (T.O.M.S.) has been built on a reputation of excellence. It attracts people with all levels of medical training, from basic first aid to physicians, from across the globe. This course is presented in partnership with local, state, and federal law enforcement agencies as well as private and not for profit organizations.


This course includes the NAEMT, TCCC, and TECC as it is still the recommended certification for tactical medics alike. Additionally, all participants who complete the course will receive Mid-America Safety Services’ Tactical Operations Medical Specialist course completion certificate. This course is an accredited educational product with continuing education credit available for all levels, including Basic First-Aid, EMS, Fire, Nurses, and Law Enforcement. Also, it is accepted in some states as POST credit as well.


This 50+ hour total immersion course is open to any individual with a desire and ability to train and prepare for operation in a tactical environment. This is a medically based course but we do include live fire and dynamic entry modules. Our Instructors provide professional training and experience in the following areas:

All classes are taught by former and active duty S.W.A.T. officers, tactical paramedics, military, and Department of Defense contractors.

What's included:

  • Introduction to TEMS/TOMS

  • Treat Stress Management

  • Operator Wellness

  • NAEMT, TCCC, and TECC Curriculum

  • Simulated Blast Injuries

  • Medicine across the Barricade

  • Crime Scene Evidence Preservation

  • Combat Pistol and Rifle

  • Tactical Assessment and Triage

  • K9 First-Aid

  • Response to Active Shooter

  • Distraction Devices

  • Extended Operation

  • Searching, Weapons, and Handcuffing

  • Force on Force Training

  • Team Dynamic and Movements

Includes 2 Certifications:

-  Tactical Operations Medical Specialist [TOMS]

-  Tactical Emergency Causality Care [TECC]


Team Dynamics

Students will be taught how to work both as a individual and as a team. Team dynamics is a very important element in this course. Working as a team, knowing your role and how to take over any other role is a critical element in this course. Each student will participate in every role in a dynamic team, including the victim. 

Force on Force / Weapons Disarming Training:

During this course students will be taught how to deal with, disarm and subdue an attacker armed with a weapon such as a knife or pistol. Note: Disarming and take-down activities can be physical, please make your instructor aware of any physical or limiting abilities you may have.

Night Training:

On the 4th day of training students will perform a night evolution and a flash light is required.

During the night evolution students will be taught how to use low light techniques to search buildings, retrieve victims and deal with other distractions that may occur.

Note: This session includes Simunitions (non-lethal) and other force on force training. 

Note on Physical Training:
Due to the extreme physical and psychological nature of the tactical environment, physical
training will be conducted throughout the course to help minimize potential injury, promote team concept and motivation. It is our goal to give each student a baseline assessment of their overall physical condition to operate in the tactical environment and introduce them to the core values of a tactical law enforcement physical training program.

This is NOT a SWAT school or military boot camp. Physical training is used to foster team
cohesion in a minimal amount of time and focus the student’s attention to details. Since the
addition of physical training to the program, we have noticed a drastic improvement in how
quickly the individuals come together to work towards a common goal.

Tactical Emergency Medical Services (TEMS)

Tactical Operations Medic Specialist (TOMS)

National Association of Emergency Medical Technicians (NAEMT)
Tactical Combat Casualty Care (TCCC)
Tactical Emergency Casualty Care (TECC)

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Common Questions:

Question: Is there a discount for Law Enforcement, EMS and Medical Personnel?
Yes. Professionals in the fields of Law Enforcement, EMS, AEMT, Paramedics and other Medic fields may receive a discount to provide them extended training and to be able to renew licenses as required. Individual discounts and group discounts are available. Please call us at 720-464-7885 to get more information. 

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Tactical Operations Medical Specialist


Course Length: 40 Hours / 4 Full Days

Available Class Dates:

Class Date / Time

Includes 2 Certifications:

-  Tactical Operations Medical Specialist [TOMS]

-  Tactical Emergency Causality Care [TECC]

+ 16 Hours POST/CEUs for LEO/EMS/Fire/Medical*

+ Discounts available for LEO/EMS/Fire/Medical Personnel





Class has additional options. Click for information. 

Note: New membership program opening in 2021



Class Requirements

Weapons are not allowed to be loaded when entering class. You may not load your weapon until you are instructed. If you are carrying concealed, please download in your vehicle. 

Minimum recommended equipment:

  • Tactical Body Armor (Optional)

  • Helmet (Optional) (Example Helmet)

  • Eye protection (clear and tinted) (Required)

  • Hydration system (Required)

  • Flashlight (Required)
    (Need for night operation/training - 4th day)

  • Gloves (Required)

  • Handgun with 200 rounds

  • AR style rifle with 200 rounds

  • Medical Response Bag (Optional)

  • A Packed lunch

  • Plenty of water or other drinks

Dress Requirements:

  • Department Tactical Uniform
    (If you are not with a department or your department does not have a tactical uniform, BDU style pants such as 5.11)

  • Boots or hiking boots that support your ankles

  • T-shirts

  • Dress slacks and polo for graduation.

We also recommend that you have a hat and sunscreen to protect you from the sun. Winter months please dress in layers. You will warm up with our course and will need to shed layers.

Warning: this course is realistic and will have simulations that include simulated blood, smoke and other distraction devices. Graphic content will be presented during this course.

Warning: This course includes force-on-force training using Simunition and air-softs weapons.

If you have any questions please contact us

What's Next?


   (C) = Nationally Certified Course  

Questions? Need private training?


30 days to complete course!

Or, Login to Access Your Class


bottom of page