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It has been known since the inception of the SWAT (Special Weapons And Tactics) team that they are inherently placed in volatile and dangerous situations.  For many years these teams would have an EMS (Emergency Medical Services) crew on standby in the outer perimeter for medical support.  Recently that philosophy has changed.
 

   Unfortunately the Columbine High School incident and several other high profile police events have brought national attention to the idea of medical support in the tactical environment.  This has resulted in police agencies reviewing how EMS is integrated into the tactical environment.

The TEMS program has developed out of a need for medical support in situations that have proven to become deadly quickly.

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