In 2012 and 2013, the Wisconsin Office of Rural Health sponsored TEMS training sessions for rural emergency medical services providers. TEMS is comprehensive pre-hospital medical support of emergency response teams involved in active crime scenes or other hazardous situations, including natural disasters. TEMS training instructs Paramedics, EMTs, and Emergency Responders how to respond in high-risk situations. Participants learn to safely provide medical care in what is often an unsafe setting that is too hazardous for untrained providers. Graduates learn abilities to maintain the wellness of a response team’s members and provide immediate medical care to anyone in need: law enforcement officers, firefighters, bystanders, or suspects. More than fifty EMS providers have successfully completed the course, taught by Waukesha County Technical College staff.