Tactical Emergency Medical Services (TEMS) is out-of-hospital care given in hostile situations by specially trained practitioners. It is distinct from the care given by medics in , as TEMS generally refers to care rendered by civilians. Tactical Medics are Emergency medical technicians (EMT), paramedics, nurses, and physicians who are trained to provide life-saving care and, sometimes, transport in situations such as tactical police operations, active shooters, bombings, and natural disasters (though rarely the latter).