Tactical Element

Tactical Medical Responder

Tactical Medical Responder (TMR) is a 56-hour program of instruction designed to prepare the non-medical tactical operator to deliver immediate lifesaving care to critical patients during tactical law enforcement operations. Pursuant to the National Emergency Medical Services (EMS) Scope of Practice Model for Emergency Medical Responders, the TMR possesses the knowledge and skills necessary to provide immediate lifesaving interventions while while extracting casualties to awaiting EMS resources. The TMR also provides assistance to higher-level medical providers to include during transport to a medical treatment facility (MTF). The Tactical Medical Responder is a vital part of tactical law enforcement operations as well as comprehensive EMS operations. Under physician level medical direction and oversight, the TMR performs basic life support (BLS) interventions with minimal equipment in accordance with the National Emergency Medical Services Education Standards (NEMSES), and Committee on Tactical Combat Casualty Care (CoTCCC).  

Tactical Medical Responder is conducted in strict accordance with the most current Tactical Combat Casualty Care (TCCC) Guidelines as prescribed by the Committee on Tactical Combat Casualty Care

Tactical Medical Responder is an Approved Review Course by the International Board of Specialty Certification (IBSC) for the Tactical Responder – Certification (TR-C) examination.


1. American Heart Association Basic Life Support for Healthcare Providers (or equivalent) certification

Course Seating:
Limited to 24 Participants

Course Length:
56 Hours

Continuing Education:
Tactical Element is a Board Approved Educational Provider (50-17997) for Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced EMT (AEMT), and Paramedic (P) training by the State of Florida Bureau of Emergency Medical Services.

Tactical Medical Responder (20-000000) awards 56 Continuing Education (CE) hours applicable to the NREMR, NREMT, NRAEMT and NRP Refresher Requirements in accordance with Recertification Requirements as prescribed by the National Registry of Emergency Medical Technicians (NREMT).

56 CE Hours

Instructors assigned to the Tactical Medical Responder course are seasoned tactical law enforcement operator/paramedics in direct support of tactical law enforcement and military operations, possessing verified and documented experience in the delivery of care in all three phases of Tactical Combat Casualty Care.

Certifications Earned:
1. National Association of Emergency Medical Technicians (NAEMT) Tactical Combat Casualty Care – All Combatants (TCCC-AC) Provider
2. National Registry of Emergency Medical Technicians (NREMT) Emergency Medical Responder (EMR) (upon successful passing of the NREMT EMR examination)


Recommended Text(s):
1. Advanced Tactical Paramedic Protocols Handbook