Emergency Call 911

Basic Tactical Operational Medical Support Course (BTOMSC)

This course is presented by the Cypress Creek Tactical Medic Team in partnership with Strategic Skills Training Institute.

Sponsored by Baylor College of Medicine, Emergency Medicine Division of EMS & Disaster Medicine and Waller County Sheriff’s Office SWAT team.

Current BTOMSC Offerings

Spring 2014 Class – April 27. 2014 – May 4, 2014 – (Click here to Register)

Fall 2014 Class – September 14-21, 2014 – (Registration coming soon)

To register, you must complete the registration form, consent form and the physical activity readiness questionnaire. Submit the registration form online, make payment or deposit, and fax completed consent form and PAR-Q form to Wren Nealy at 281-655-0414.

Required documents:

Please forward registration, consent form and payment to:

Cypress Creek EMS
Attn: Kris Roszko
7111 Five Forks
Spring, Texas 77379

This International, 81 hour, 6 day total immersion course in tactical operational medical support is open to the EMT Basic and above to prepare and train them to operate within a tactical law enforcement environment. This course is medicine based and doesn’t perform any live fire exercises. It is an excellent course for current practicing tactical medics to use as a refresher and continue education course.

This course is accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS).

The course includes Tactical Combat Casualty Care Certification (TC3) curriculum which is a 2 year certification through NAEMT.

  • P.O.S.T.- 81 CE Hours
  • EMS – 81 CE Hours

  • Introduction to TEMS/TOMS
  • Administrative Issues
  • Threat Stress Management
  • Operator Wellness and Fit Assessments
  • NAEMT Tactical Combat Casualty Certification Curriculum
  • MTA, Site Survey, and Documentation
  • Extended Operations/Expanded Scope of Practice
  • Asset and Resource Management
  • Remote Assessment Methodology/Sensory Deprivation
  • Tactical Assessment /Triage/ Movement
  • Emergency Dental Medicine
  • Veterinary Medicine for the LE K-9
  • Handler Down Rescue and K9 Control Techniques
  • Response to Active Shooter/Threat Mass Casualty Incidents
  • Officer/Operator Rescues and Ballistic Shields use in tactical medicine
  • Chemical Agents in SWAT/CBRNE / WMD / Clandestine Drug Labs
  • Distraction Devices and Blast Injuries
  • Medicine Across the Barricade
  • Tactical Airways
  • Less Lethal Weaponry – TASER and Specialty Impact Munitions and Associated Injuries
  • Searching/Weapons/Handcuffing
  • Crime Scene Evidence Preservation
  • Force on Force Scenario Based Training Exercises

$1,875 (Includes tuition, course completion certificate, lodging and all meals)

$1,275 (Excludes lodging and transportation for local students )

Accepted forms of payments:

  • PayPal,
  • Visa, MC, Amex,
  • Checks,
  • Money Order, and
  • Department issued Purchase Orders

When registering online…

If you are paying by credit card, please select pay at door on the online form, We will contact you for your credit card information.

If you are paying by Purchase Order, select pay at door and mail your payment to

Cypress Creek EMS
Attn: Kris Roszko
7111 Five Forks
Spring, Texas 77379

Deposit Policy: Please understand that Cypress Creek EMS is 501 c(3) non-profit corporation. Class size is kept to a specific level to maximize the student to instructor ratio, which is for the benefit of the students; therefore, no reservation will be held and you will not be registered for the class until a deposit has been received. All registrations MUST be paid in full 30-days prior to the course start date. Department issued purchase orders will serve as payment in full, provided the purchase order is for the full registration fee.

Deposit Amount if paying by cash, credit card, or check : $600.00
Deposit Amount if paying by Paypal including Processing Fee: $625.00

Refund Policy: If your class is canceled, your deposit is fully refundable. If you cancel at least 30 days prior to the first day of class, your deposit is refundable with a $100 processing fee. If you cancel 30 days to 15 days prior to the class start date, half of your deposit/registration fee is refundable, OR the full deposit can be applied to hold another available class slot. If you cancel 14 days or less before the beginning of your class, your registration fee becomes totally NON-REFUNDABLE. The program director will have the discretion to apply 50% of your deposit/registration fees toward the next available class.

All cancellations must be made in writing or by email to wnealy @ ccems.com. If email is unavailable then contact Wren Nealy Jr. at 281-378-0826. It is the student’s sole responsibility to assure the cancellation has been received within the above specified time frame to comply with the refund policy.

Suggested Reading

Tactical Medical Essentials by American College of Emergency Physicians (order here 20% discount)

Cypress Creek EMS is a registered trading partner with the Federal Government. We are authorized to accept contracts from US Government agencies and all branches of the US Military. Please contact our administrative office for our Cage Code and DUNS number.


Cypress Creek EMS
7111 Five Forks
Spring, Texas 77379

Contact Us

Subscribe to email updates

Join Our Mailing List
You can also subscribe by texting
CCEMS to 22828

Latest News/Updates