Mike Massaro is a licensed Paramedic, Dive Medical Technician (DMT), and the founder of Trilogy Emergency Medical Solutions, a veteran-owned training organization he has built from the ground up over the past 15 years.
His commitment to emergency medicine began before he ever put on a uniform. Mike became an EMT during his first college course — a calling that would shape the rest of his career.
Two years later he enlisted in the military, going on to serve nearly 14 years across three branches of the U.S. Armed Forces. During that time he served as an Air Force C-141 Crew Chief and Aeromedical Evacuation Technician, a U.S. Army Military Police Soldier, and a Navy Corpsman, with service periods from November 1986 to June 1997, and again from August 2001 to September 2003. During Desert Shield and Desert Storm, he deployed with the 82nd Airborne Division, 16th Military Police Brigade under the 18th Airborne Corps, gaining firsthand experience operating in austere environments where medical support was limited and mission readiness was critical.
That military foundation carried directly into a civilian career spanning prehospital emergency medicine, dive and hyperbaric medicine, offshore and remote medicine, tactical medical support, and public safety diving.
One of the most formative chapters of that career was a 14-month assignment as the sole Paramedic at Baker’s Bay Golf and Ocean Club, an elite private community in Abaco, Bahamas. When Mike arrived there was no advanced life support capability on the island. He built the system from the ground up — establishing on-site ALS care, developing medical evacuation protocols, and providing care not only for the Baker’s Bay community but also for the nearby settlement whose residents and workers had no other medical provider. The nearest medical support was another island thirty minutes away by boat. That assignment reflects a theme that has followed Mike throughout his career: identify the gap and build the solution.
Mike has delivered training across an equally wide range of operational environments — from industrial warehouses and shooting ranges to offshore rigs and remote dive sites — working with first responders, federal agents, military personnel, and scientific diving teams.
From 2014 to 2015, Mike served as Assistant Diving Safety Officer and Boating Safety Officer at Florida International University, supporting operations at the Aquarius Undersea Habitat — at the time the world’s only permanent underwater research station and the site of numerous NASA mission simulations and scientific diving programs. Working alongside NASA astronauts and U.S. Navy divers, he operated in environments where safety protocols were not theoretical — they were mission-critical.
Those experiences, combined with years of offshore medical work on rigs and vessels where advanced care may be hours or even days away, helped shape Mike’s instructional philosophy: training must reflect operational reality. Every program developed through Trilogy EMS is designed to prepare professionals for the environments where they actually work — not just the classroom.
Trilogy EMS was formally established in 2010 (originally as Public Safety Academy) and has operated continuously under several names — including Guardian Academy and Trilogy HSE — reflecting the organization’s deliberate expansion from public safety training into offshore energy, dive medicine, and specialized emergency response training.
Today, Trilogy Emergency Medical Solutions is an approved educational partner of C-TECC and IBHBOT, maintains a Divers Alert Network (DAN) Examiner, and has trained personnel from the FBI, U.S. Marshals Service, U.S. Air Force, U.S. Army, Florida Highway Patrol, and more than 80 agencies across the United States and internationally.
Through Trilogy EMS, Mike continues to lead the development of next-generation training programs and digital learning platforms designed to expand access to high-level emergency medical education worldwide.
