Established in 2006, the Tactical Emergency Medical Support (TEMS) unit of Washington County EMS is a specialized team trained under CONTOMS guidelines to provide medical support during high-risk operations. Serving the Brenham PD SRT, Washington County SO SRT, and Austin County SO SRT Regional Team, the unit participates in approximately 20 missions annually. TEMS provides medical threat assessments, coordinates ground and air medical transport, delivers advanced medical care to team members and K-9 units, and offers drone-assisted scene overwatch when requested. Equipped with ballistic protection, advanced communication systems, NVGs, rapid extrication kits, and cutting-edge medical protocols, the TEMS unit plays a critical role in enhancing the safety and effectiveness of the teams it supports.