Tactical Health
& Human Performance
With over ten years of training and experience across five countries, Dr. Tomes provides cutting-edge research, education, and consultation on multiple domains of health and performance for those that put themselves in harms way.

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What is Tactical Human Performance Optimization?
The tactical HPO model seeks to integrate theory, research, practice, and application, utilising the best available evidence, organisational needs, and preferences, as well as the expertise of a comprehensive team of health and human performance providers to maximise the human potential of each tactical trainee or operative. Tactical HPO integrates the three following pillars:
1) the best available research
2) the expertise of key support personnel
3) the needs and preferences of individual operators forms the basis of evidence-based practice
What is Heart Rate Variability (HRV)?
Heart rate variability analysis assesses the stability or instability of various increasing or decreasing trends in heart rate. Much like daily temperature generally increases throughout the day and then decreases at night, and also more broadly increases in the summer and decreases in the winter, fluctuations in heart rate can also be observed and appreciated over both brief and lengthy windows.
HRV analysis can be deployed at fire departments, police stations and military barracks and forward operating areas where other clinical tools may not be feasibly integrated to provide information valuable to tactical professionals and their support teams across their careers. These advantages in measurement, assessment, and ease of use can be leveraged without sacrificing precision.
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Whether you are an individual military service member, firefighter, law enforcement officer or other first responder, or if you are an agency or private trainer or leader in a tactical setting, I want to hear from you. Please use the form below and let me know if you are interested in research, performance or health consultation and if you are an individual or contacting me on behalf of your agency.