Basic Tactical Operational Medical Support Course (BTOMSC)

The March 20th – 26th, 2022 course has been postponed until further notice.

Upcoming BTOMSC

BTOMS Course

The Basic Tactical Operational Medical Support Course (BTOMSC) has built an international reputation for excellence. It attracts Trauma Physicians, Paramedics, EMTs, Firefighters, and Police Officers from all over the world. BTOMSC was featured in the Summer 2019 edition of the Journal of Special Operations Medicine which has granted Cypress Creek EMS special permission to post the article, which can be read by clicking here.

The course is presented by the Cypress Creek EMS Tactical Medic Team in partnership with local, state, and federal law enforcement agencies as well as private and not for profit organizations.

The course includes the NAEMT TCCC Certification as it is still the recommended certification for tactical (SWAT) medics.  The NAEMT TECC Certification for civilians can be requested for CLOSED courses (offered to one agency/group).  Additionally, all participants who complete the course will receive the CCEMS Basic Tactical Operational Medical Support course completion certificate.

This event is an accredited educational product, and continuing education credit is available for all disciplines, EMS, (Texas) FIRE, and (Texas) Law Enforcement.  Texas DSHS approved CE is accepted by the National Registry of EMTs.  Also, it is accepted in some states as POST credit.  For FIRE credit, if your state follows the IFSAC model for the Firefighter I & Firefighter II curriculum.

If you are paying by Purchase Order, send the purchase order by email or fax 281-655-0414.


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 Bobby Sellers at 281-655-0414.

Required documents:

TOMSC Consent Form

Required Equipment

Physical Activity Readiness Questionnaire

Student-Handbook – Do NOT return, keep for your reference

Please forward registration, consent form and payment to:

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

Course Description

This International, 80+ hour, 8-day total immersion course in Basic Tactical Operational Medical Support is open to the EMT Basic and above to educate, train and prepare them to operate within a tactical law enforcement environment.

This course is medicine based and does not perform any live fire exercises. It is an excellent course for current practicing tactical medics to use as a refresher and continuing education course.  You are encouraged to bring your gear to wear during the course.  CCEMS will provide medical aid bags, Air Purified Respirators (APR), and FX protective equipment.

The course includes the NAEMT Tactical Combat Casualty Care Certification (TCCC) curriculum, a 4 year certification.  The BTOMS course is more than a just a training course.  It is an educational product accepted for Continuing Education credits in EMS (Texas), Fire (Firefighter I and II), and law enforcement (TCOLE/P.O.S.T).  The National Registry of EMT’s accepts Texas CE credits.

Course Topics

  • 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


$2300. for regular tuition with lodging and meals. ($75 Late Fee, if booked less than 30 days before class start date)

$1800. for local tuition with lunch and dinner. Breakfast is not included. ($75 Late Fee, if booked less than 30 days before class start date)

Accepted forms of payments:

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

When registering online…

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 a 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 : Minimum deposit of $1000 (or a department-issued purchase order) is required at the time of registration.

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 $200 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 (less the $200 processing fee) 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 (less the $200 processing fee) toward the next available class.

All cancellations must be made in writing or by email to If email is unavailable then contact Bobby Sellers at 281-378-0828. 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. The registration online has a disclaimer that makes the registrant acknowledge they are aware and understand the refund/cancellation policy. This is required by the credit card merchants and to protect us from the registrant claiming they were not aware to the credit card company/bank.

Suggested Reading

Tactical Medical Essentials by American College of Emergency Physicians

Prehospital Trauma Life Support, Miltary Version (order both here with 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.