About Us
The European Tactical Medical Association (ETMA) was founded in 2020 and publicly launched in 2026. A multidisciplinary collaboration bringing together clinicians, medics, operators, and responders from across Europe.
ETMA is focused on developing the evidence base for tactical and high-threat medicine, with the aim of reducing the care gap at complex and high-risk incidents by translating real operational experience into realistic education and preparedness.
Our Team
ETMA is governed and supported by clinicians, medics, operators, and subject matter experts from across Europe, bringing real-world experience from clinical practice, operational response, education, and research.
Dr Claire Park
Claire Park is a HEMS Consultant and Major Incident Lead for London’s Air Ambulance, and a Critical Care Consultant at King’s College Hospital. She holds an Honorary Senior Lecturer role at Queen Mary University of London, where she is Chief Investigator on a nationally funded research project examining patient outcomes from the hot zone. Claire is also one of the original authors of the Ten Second Triage Tool (TST).
She serves as Medical Adviser to the Metropolitan Police Service and is a member of the UK National Police Clinical Governance Panel. Internationally, Claire is a Guidelines Committee member for the Committee for Tactical Emergency Casualty Care. She has worked in high-threat medicine for most of her career, with over 20 years of deployed experience as a regular army doctor. Claire is passionate about strengthening the evidence base for operational high-threat medicine and advancing collaboration between medical and law enforcement teams to optimise lifesaving decision-making and interventions to enhance the window of opportunity for saving lives in the future.
Founder/Director - UK
Bryony Dunne
Bryony is a senior leader with extensive experience across complex, high-risk, high-performance systems, with a background in prehospital emergency care, education, and system leadership. She spent almost a decade at London’s Air Ambulance, latterly as Associate Director of the Institute of Pre-Hospital Care, leading world-class education, training, and innovation programmes for clinicians in time-critical environments. She developed long-term strategy, secured significant funding, and established national and international partnerships across healthcare, emergency services, government, defence, and sport.
She has collaborated closely with elite sport through UK Sport partnerships and now serves as Institute People & Services Lead at the Sport Wales Institute. A former international swimmer, she brings first-hand experience of elite performance, team dynamics, and succession planning, and is passionate about helping teams connect, adapt, and perform together when it matters most.
Founder/Director - UK
Founder/Director - UK Dr Gareth Grier
Gareth is a Consultant in Emergency Medicine and Prehospital Care, and Associate Medical Director of Essex and Herts Air Ambulance, overseeing the Centre for Excellence and academic activity. He founded the Institute of Prehospital Care at London’s Air Ambulance, as well as the Intercalated BSc and MSc degrees at Queen Mary University London, where he is a Senior Lecturer in Prehospital Medicine. Gareth previously served as education lead and later clinical lead at London’s Air Ambulance, and oversaw the response to the 2017 terrorist attacks and Grenfell Tower fire, acting as an on-scene medical adviser for the London Ambulance Service.
Gareth’s interests span the breadth of prehospital medicine, with a focus on education, simulation, and innovation. He has developed high-fidelity simulated patient episodes for multiple mass casualty exercises over many years, created the UK Clinico-Pathological Correlation (CPC) process for prehospital case review in collaboration with forensic pathologists, and established patient and family liaison teams in hospital and prehospital settings to ensure high-quality support beyond the initial traumatic event. He has also provided clinical governance leadership across several UK air ambulance services..
Founding Board Member - FranceMatthieu Langlois
Matthieu Langlois is an anaesthesiologist and specialist in emergency medicine (SAMU) and disaster medicine, with extensive field experience in life-threatening emergencies. Alongside his clinical practice, he served for 14 years with the Tactical Operations Forces of the French National Police (RAID), including nine years as Chief Director of the Tactical Emergency Medical Unit. During this time, he developed the doctrine of medical support for RAID operators and, in 2012, designed the ongoing organisation of tactical rescue during mass casualty incidents. He directed the rescue and evacuation, before the assault, of all injured people trapped in the Bataclan on 13 November 2015. The doctrine used at the Bataclan is internationally recognised for its simplicity and effectiveness in conditions of uncertainty and extreme danger.
These operational processes formed the basis of a research project initiated by Matthieu in 2021, funded by the French National Research Agency, in collaboration with ESSEC Business School, École Normale Supérieure, and Sorbonne University, focusing on organisational agility and human factors in complex crisis management. During the COVID-19 crisis in 2020, he directed an APHP crisis unit, coordinating intensive care capacity and patient transfers. Matthieu is the author of Médecin du RAID, vivre en état d’urgence (Albin Michel, 2016), and has published and lectured widely on tactical medicine, decision-making under uncertainty, and crisis management. He has served as General Secretary of the French Society of Disaster Medicine since 2019, continues clinical practice as an anaesthesiologist, and develops international teaching and research focused on optimising casualty management in hostile environments, including terrorist attacks, cyber threats, urban violence, and crowd surge events. He also participated in the creation of the European Tactical Medical Association.
Mike Wade
Mike Wade is a Chief Inspector on the senior leadership team for South West London, leading Emergency Response Teams. He has 28 years' policing service, with extensive experience in specialist firearms roles across operational, tactical, and training roles. Mike is focused on fast, safe, and victim-centred response, officer development, and effective partnership working, with particular interests in tactical medicine, realistic training, and inter-agency preparedness.
Founding Board Member - UKMike Paice
Mike has been a UK police officer for 25 years, including 20 years in tactical firearms. He has served with Surrey Police and London’s Metropolitan Police, including within Counter Terrorism Specialist Firearms Operations. A qualified Firearms Instructor, Mike has divided his career between firearms operations and training, with extensive experience developing innovative approaches to casualty care in high-threat environments. He is currently an operational Police Sergeant with the Surrey and Sussex Tactical Firearms Unit.
Founding Board Member - UK
Founding Board Member - SwedenFredrik Granholm
Fredrik Granholm is a consultant physician in Anesthesiology and Intensive Care with a strong focus on prehospital emergency care, particularly in high-risk environments. He is the initiator of the biannual Tactical Trauma Conference and the author of the book chapter on Tactical Emergency Medical Support (TEMS) in the leading textbook Ciottone’s Disaster Medicine. Fredrik serves as Affiliate Faculty at the Fellowship in Disaster Medicine at Beth Israel Deaconess Medical Center (BIDMC), Boston, where he teaches hybrid warfare and tactical medicine, and is an Honorary Senior Lecturer at the Blizard Institute, Queen Mary University of London.
Founding Board Member - Switzerland Omar Abdel Aziz
Omar Abdel Aziz is a physician anaesthesiologist and HEMS physician based in Switzerland. He is an instructor with NAEMT, AHA, ACS, and TCCC, and serves as a Medical Officer (Colonel) in the Swiss Armed Forces. Omar is President of the Swiss Association for Tactical Medicine and a Course Instructor, and also serves as Medical Director for Tactical Medicine at the Swiss Police Institute.
Marius Rehn
Marius Rehn is a consultant anaesthesiologist, air ambulance doctor, and Professor of Prehospital Critical Care at the University of Oslo. He initially served as a clearance diver and winch rescue man (SAR) in the Royal Norwegian Defence Forces. He has worked with London’s Air Ambulance and currently serves with Oslo University Hospital Air Ambulance. Marius is also Editor-in-Chief of the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
Founding Board Member - Norway
Iryna Rybinkina
Bio coming soon.
Founding Board Member - Ukraine
Founding Board Member - FinlandVille Voipio
Ville Voipio is a Finnish anesthesiologist and highly experienced prehospital physician working with FinnHEMS. He has a strong interest in all aspects of trauma and serves as a Tactical Physician and Medical Director of TEMS Northern Finland. Known as a practical “doer,” Ville is also a photographer and an avid hunter.
Founding Board Member - DenmarkHenrik Alstrøm
Henrik Alstrøm is a senior consultant anesthesiologist and emergency physician in Denmark, working with rapid response vehicles in the Capital Region. He is a TEMS provider and the founder and head of TEMS Capital Region Denmark, with a focus on tactical emergency medical support and prehospital care.
Xavier Losfeld
Xavier Losfeld is an Advanced Nurse Practitioner in Belgium, holding qualifications including RNED, CCRN, MPH (EMS & Disaster Medicine), MEd, and fBRC. He has extensive experience as an EMS and ICU nurse linked to a Level 1 trauma centre, and has served for many years as coordinator and instructor for advanced European Resuscitation Council and NAEMT courses, with a focus on TECC and TCCC. Xavier is currently employed as a project manager at NATO.
Founding Board Member - BelgiumÁgúst Sigurjónsson
Ágúst Sigurjónsson is Chief Inspector to the National Commissioner of the Icelandic Police. He has served within the Icelandic police for 20 years, with experience across organised crime, civil protection, and special interventions.
Ágúst also serves as Lead Medic for the Viking Special Intervention Unit (SIU), bringing operational medical capability into specialist law enforcement environments.
Founding Board Member - Iceland