Metro Fire provides Tactical Emergency Medical Support (TEMS) services, better known as SWAT Medics, to various law enforcement agencies throughout our region. Currently we support the Sacramento County Sheriff's Special Enforcement Detail (aka SWAT), as well as SWAT/tactical teams from Citrus Heights Police, Sacramento FBI, and Homeland Security Investigations. Our TEMS team is composed of 15 specially trained paramedics from the ranks of Firefighter, Engineer, and Captain. Each member has completed extensive training in advanced medical procedures, trauma care, canine care, and specialized law enforcement techniques. TEMS medics are often deployed in austere and hostile environments alongside other law-enforcement counterparts. Examples of TEMS deployments include emergent and pre-planned high-risk warrant services, barricaded suspects, and hostage rescues. On average, Metro Fire TEMS responds to approximately 80 calls per year.