“The San Andreas Tactical EMS Squad are designed to protect, serve, and render aid to injured persons caught in the line of fire while the threat is ongoing.”
TEMS units must not respond to active shooting scenes unless specifically requested by authorized command as outlined in the SOP.
TEMS Medics stabilize and treat injured persons in hostile zones, breaching with patrol units during active‑shooter situations and shifting to patient extrication and triage when S.W.A.T. is activated and the situation is contained.
Their goal is to provide point‑of‑wounding care, extricate patients from hot and warm zones, and support law enforcement operations without taking command of the scene.
The Coordinator of SAFR TEMS leads, teaches, and supervises all scenarios in which the unit is called. They handle training, ranking, disciplinary actions, and overall supervision. All issues regarding TEMS are routed through the Coordinator.
Current Coordinator: Akame Makoto
Fully‑qualified paramedics trained to breach with law enforcement patrol units, extricate patients from hot and warm zones, and treat patients with limited resources while under fire or in confined spaces.
First stage in becoming TEMS. Trainees must hold ALS certification for at least 10 days and pass Live‑Fire Exercises, proving they can remain calm and render aid while being shot at.
TEMS should be utilized on a case‑by‑case basis. Gear may be stored on the ambulance or engine; the Fly Car is not required for every scene. TEMS Medics can run PD/EMS and switch to a Quebec Unit when needed.
While on scene, TEMS must remember that the ambulance is a large moving target. The primary goal is to save those injured, not become additional casualties. Keep your head down, stay out of the line of fire, and support law enforcement from the rear.
TEMS must never take lead, interact directly with active shooters, or command LEO on scene. Their role is to follow LEO, treat from behind cover, and act as a supporting medical element.
During active‑shooter incidents, TEMS integrates with the entry team, staying toward the rear with an officer watching their back. They treat injured officers within the team and do not break off to treat other patients until the threat is neutralized or contained.
During stand‑offs, TEMS shifts to triage and extrication, working from warm to hot zones. Only point‑of‑wounding care is applied to stabilize and move patients to the Casualty Collection Point as quickly as possible.
TEMS operators wear a Tactical Vest, Dark Blue Medical Bag, and Eye Protection (glasses or professional goggles). Specific uniform numbers and codes will be posted for Tactical members and kept updated for staff use.