Medical Companies 1 and 2 operate under the Emergency Medical Battalion and are responsible for managing the district’s medical certification programs. Their duties include assisting with the creation, updating, and hosting of all medical training courses offered by the Fire District, from EMR through Paramedic. Each company ensures that certifications remain current, consistent, and aligned with district standards. Captains oversee their company’s operations and are directly responsible for ensuring their Lieutenants remain active and engaged in training and instructional duties. Lieutenants within each company help host certification courses, guide trainees through testing, and support ongoing medical education. Together, these companies maintain the district’s high standards of medical readiness and professionalism. 

The Tactical Emergency Medical Company is a specialized unit within the Emergency Medical Battalion that operates in coordination with the Fire Police Company to provide lifesaving care during violent or high risk incidents. TEMS personnel respond before a scene is fully secured by law enforcement, working in small teams of two to three members, usually one to two medics paired with one Fire Police officer. The Fire Police officer provides defensive protection for both medics and patients, maintaining scene security and retaining custody of criminal patients until they are transferred to Lakeview Law Enforcement. TEMS medics are trained to operate under fire using cover, tactical vehicle blocking, and rapid triage methods. Their medical procedures are based on the United States Army Special Operations Command Tactical Combat Casualty Care program, emphasizing aggressive life saving interventions in dangerous environments.