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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Humble Thames Beginnings In Iowa
- PrepMedic started Thames in 2016 as a reserve deputy in rural Iowa and initially stocked his own medical gear with minimal support.
- The early program was informal and reliant on handshake agreements rather than formalized medical integration.
Two Very Different Team Models
- Unknown Speaker contrasted two SWAT teams: one with clear MOU and supplied resources, the other busy urban team with informal medical setups.
- Despite higher call volume, formal medical support was lacking and medics pieced kits together from workplace supplies.
Thames Is A Multi‑Mission Resource
- Thames teams often become special resources covering multiple missions like SAR, SWAT, and dive support which increases mission variety.
- That variety demands flexible training and gear but also introduces more interagency politics.