The World’s Okayest Medic Podcast

TEMS Chat with PrepMedic

Dec 1, 2025
Dive into the fascinating world of Tactical Emergency Medical Services with insights from PrepMedic. Discover how he began his journey with SWAT medics and the differences in team structures. The discussion covers high-risk calls in rural versus urban settings, the complexities of organization and funding, and the importance of medics' specialized roles. They debate the pros and cons of arming medics, the utility of dedicated vehicles, and evolving medical kit strategies. This engaging chat unveils the critical integration of medics within tactical teams.
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ADVICE

Resolve Funding And Risk Upfront

  • Clarify funding and ownership early when a private EMS system supports Thames to avoid administrative pushback.
  • Talk to risk management and municipal partners so the program isn't an implicit, unsupported expectation.
ADVICE

Prioritize Medical Role Over Tactics

  • Stay mission-focused: medics should provide specialized medical support, not lead tactical action or act as point men.
  • Position medics at last point of hard cover within ~15–30 seconds of the lead team for rapid care.
ANECDOTE

Why Hechooses To Stay Unarmed

  • PrepMedic stays unarmed and embedded as a medic at last point of hard cover, believing armed medics create operational complications.
  • He recounts past experience where being armed made him a shooter first and medic second, reducing team resilience if he was hit.
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