CONTOMS

CONTOMS The CONTOMS Program was started in 1990 to meet the need for specialized medical training to support law enforcement special operations.

Law enforcement remains a dangerous occupation. A total of 1,466 law enforcement officers died in the line of duty during the past 10 years, an average of one death every 60 hours or 146 per year. There were 117 law enforcement officers killed in the line of duty in 2014. On average, over the last decade, there have been 58,930 assaults against law enforcement each year, resulting in 15,404 injur

ies. Our own data suggests that SWAT Team members are at high risk for injury, sustaining a casualty rate as high as 9 per 1000 officer-missions. Law enforcement and the military services have long recognized that medical support of special operations can enhance the probability of mission success. This type of support requires a unique, additional expertise, which is complementary to the basic qualifications of prehospital health care providers. Community emergency medical services (EMS) systems in the United States and abroad were developed to respond to the needs of individual patients in controlled situations. However, in some locales, emergency medical technicians trained for the EMS role have been pressed into service to support counter terrorism, drug interdiction and other law enforcement activities without any additional training. These activities have become increasingly specialized in nature, characterized by prolonged operations, organized opposing forces, use of military-type weapons, and increasing death and injury among law enforcement officers, perpetrators and innocent citizens.

05/21/2026

The Operational Medical Support Unit plays a critical role in supporting USMS missions by providing advanced medical capabilities in dynamic and high-risk op...

04/28/2026
04/11/2026
A few images from our Advanced CONTOMS course this week in Washington DC.
04/10/2026

A few images from our Advanced CONTOMS course this week in Washington DC.

CONTOMS continues supporting agencies nationwide with operational medical training designed for real-world response envi...
03/22/2026

CONTOMS continues supporting agencies nationwide with operational medical training designed for real-world response environments.

Honored to assist the New Jersey State EMS Task Force as they prepare to provide medical support during FIFA operations.

Preparedness saves lives.

SWATMedicTacticalMedicProlongedFieldCareHighRiskMedicineIntegratedOperationsTECCTCCCFirstResponderTrainingOperation...
12/29/2025






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TacticalMedic
ProlongedFieldCare
HighRiskMedicine
IntegratedOperations
TECC
TCCC
FirstResponderTraining
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