Mike is a police SWAT team member, K9 handler, and tactical medic. Jim is an Air Force pilot with a background in close air support and combat search and rescue. Our goal is to elevate the conversation about all things tactical for public safety, military, and concerned citizens. Join us to hear lessons learned about decision making, critical thinking, problem solving, leadership, and teamwork.
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TL;DR? Healthy Intersections focuses on the intersection of medical care and public health. Our academic, non-profit, volunteer-run blog is sponsored by the peer-reviewed journal Medical Care and the Medical Care Section of the American Public Health Association. We are a project of the same editorial team as The Medical Care Blog (since 2014). Our listeners, viewers, readers, and contributors care about clinical care, the healthcare system, and the health policies and public health issues t ...
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"Health Matters" with Paul Rosen is a resource for anyone who wants to live a better, healthier lifestyle through nutrition. Nutrition and alternative health expert Paul Rosen customizes individual solutions for patients suffering from fatigue, digestive issues, body aches, migraines, arthritis, bursitis, osteoporosis, heart disease, food sensitivities, and countless other issues. Learn how to make yourself better through nutrition, and how to properly read food labels and avoid environmenta ...
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Episode 17: Healthy Intersections Podcast: Local Climate Impact (August 2024)
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This month's podcast features a roundtable on the new Local Climate Impact pilot project from the RTI Rarity team. Special guests Aditya Vadalkar, MS, Bahamin Ayla Akhtari, MS, and Sourabh Deshmukh, MS discuss our project, focused on three domains: climate-related risk, community resilience, and community vulnerability. We also present interactive …
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167: Calling Bull$h!#: Responding to Swatting Hoaxes
1:10:58
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No one should die over a false report. Internet gamers, celebrities and public figures, and maybe even one of your neighbors have been the victim of this sort of prank. These hoax emergency calls that can lead to an exaggerated police response are becoming more common, so we discuss strategies to make sure we tailor our response appropriately and k…
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166: Run the Clock: Time, Talk, Tear Gas, Tactics
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The 6th Circuit Court of Appeals decision in Downs v. United States was a benchmark case for domestic law enforcement that establishes our requirement to attempt negotiations for a peaceful resolution. We define a hostage situation and talk about strategies to manage them in contrast to active killer and barricaded criminals. Downs v US (6th Circui…
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Episode 16: Healthy Intersections Podcast: Ocean Health and Human Health
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It's July, 2024. Happy summer! This month, we talk with Emily Parker, a marine scientist and advocate with Heal the Bay, a nonprofit aquarium and institute based in Santa Monica, CA. The video below is an in-depth discussion of ocean health and human health — and how they intersect. Video and transcript at https://www.themedicalcareblog.com/podcast…
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165: Separating the Wanna-Bes from the Gonna-Bes: Motivation, Grit, and Discipline
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Your Recipe for Success looks something like equal parts of three things. Motivation, the spark and desire. Discipline, your habits and structure. And Grit, your capacity to overcome challenges, adjust, and perservere. Mike shares some of the research that’s been done on these topics and ways you can integrate them to get your closer to where ever …
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164: Power Lines and Wildfires 2023 Maui Disaster
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Over 100 people were killed, more than 2,000 structures destroyed, and over $5 billion in damage were left behind after wind and fire tore through the historic Lahaina district and adjacent areas in Maui, Hawaii. We dive into some of the public safety and disaster planning takeaways from this event including evacuations, notifications, misinformati…
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Episode 15: Healthy Intersections Podcast: Alzheimer's Disease & Related Dementias
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June is Alzheimer's Awareness Month. To recognize the importance of brain health, we hosted a round-table discussion between Dr. Lisa Lines, principal investigator for the RTI Rarity project (RTIRarity.io); Chloe McGlynn, a research public health analyst at RTI; Dr. Vicki Johnson-Lawrence, social epidemiologist and community-based participatory res…
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Is “strategic” the size of the bomb you drop, the scale of the map you use, or way you play Monopoly? In this episode, Mike and Jim turn Sun Tzu’s fortune cookie sayings into operational reality. We work through how we can win fights all over Iraq, Afghanistan, and Vietnam and still lose. We also cover strategies for winning against Active Shooters…
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162: Ordering Troops to their Deaths
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Is the American military prepared for the sacrifices that we can expect in a World War? Mike and Jim discuss whether commanders can lead and whether the troops will follow when it comes time to storm the beaches knowing many will not return. Find us on social media (Facebook/Twitter/Instagram/YouTube) @TacTangents. You can join the conversation in …
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161: Tactical ADHD: Managing Attention
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Situational awareness demands focus and selective attention. Sometimes playing on your phone can help, and sometimes it can kill you. Most people can’t multitask as well as they think, but Mike and Jim will give you strategies to outmatch your enemy and avoid becoming a LUMP. FAA Task Management White Paper: https://www.tc.faa.gov/its/worldpac/tech…
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160: Lights in the Sky: Aliens or Drones? Jim Spills the Beans on UFOs
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Just because it's not aliens doesn't mean we can ignore it. Let's develop a comprehensive air defense and counter drone plan in the wake of Ukraine, Syria, and Gaza. We investigate Unidentified Flying Objects, UAVs, aliens, killer drones, spy satellites, Chinese balloons, and Foo Fighters. UAP Task Force : https://www.defense.gov/News/Releases/Rele…
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159: What’s up with the beards? Setting and Enforcing Standards
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Green Berets have to work with a different rule book than the troops guarding nuclear weapons—and for good reasons. We explore the balance between strict adherence to rules and the often necessary flexibility to go off-script in tactical operations and your organization’s culture. Find us on social media (Facebook/Twitter/Instagram/YouTube) @TacTan…
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158: “Your Children Are Not Safe”: DC Beltway Snipers
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In October 2002, a 17 and 41 year old carried out a series of serial murders, killing 10 and wounding 3 others in what were described as random attacks against people doing every day tasks like pumping gas and mowing their lawn. We cover lessons from this large scale, multi-agency investigation with takeaways for individual cops and police leaders …
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Episode 14: Healthy Intersections Podcast: COVID-19, 4 Years Later
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March, 2024: Four years since the declaration of the COVID-19 pandemic, where are we now? What accounts for more than 1 million Americans dead? We talk with Christina van Hal and Nate Rowan, researchers at RTI International, about our analyses of excess mortality from 2020-2022.
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157: Use it or Lose it: The Essence of Officer Discretion
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There are over 18,000 police Chiefs and Sheriffs in the United States, and every one of them has their own version of what right and wrong looks like. But unless they plan on showing up at every traffic stop, they are going to have to trust that their Officers and Deputies on the front lines are doing the best they can. Empowering law enforcement o…
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156: I AM THAT B*TCH! Erica Gaines of TacMobility
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Erica is the founder of TacMobility, a wellness training company and online resource with a ton of free material for public safety. TacMobility is implementing a blend of mobility training and mental health support by working its way past the tough “sheepdog” exterior. Through eye-opening surveys, TacMobility highlights the not-so-funny truths abou…
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Episode 13: Healthcare's Carbon Footprint
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Welcome to the February, 2024 edition of the Healthy Intersections Podcast! This month, we sit down with David Introcaso, PhD, to discuss the healthcare industry's carbon footprint. Dr. Introcaso is the host and producer of the Healthcare Policy Podcast as well as an experienced researcher. He talks us through understanding the scope of the problem…
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155: Say What You Mean, Mean What You Say
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Here’s the thing about plane crashes: We all die at the same time. Inefficient and ambiguous communication has serious tactical implications when managing a crisis as a team. Sometimes, we water down what we need to say because we don’t want to step on toes or piss anyone off, especially when talking to authority figures. This is called mitigated s…
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154: Get with the times: Pistol Optics are the way of the present
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For some reason there are a lot of people out there who still feel like putting an optic on your pistol isn’t reliable or practical, and our handsome hand model in the photo John Correia calls those people the Gun Amish. We agree with that title, because it’s 2024 and pistol mounted optics are a game changer. Mike and Jim talk about some of the cha…
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January, 2024: We're kicking off a year of climate action here on the podcast and blog. To start us off, we interview Dr. Imari Walker-Franklin, a research chemist at RTI International, science communicator, and the co-author of a new book from MIT Press, Plastics. We connect the dots between climate change, public health and medical care, and plas…
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153: Guns n’ Guitars: Go learn something new
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There is an art and science to learning a new skill. Whether you are picking up new hobbies and trying to improve performance at essential job tasks, there are some tricks and concepts to understand to break plateaus and keep training fun. We cover crawl walk run, the balance between simple and technical, developing a growth mindset, and embracing …
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152: Do you trust me? Selflessness in Teamwork
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We say that we should put Service before Self, but it's more than just a mantra. Where the rubber meets the road is all in how we develop implicit trust among teammates so that we know where each other is going to be and what they are going to do when the going gets tough. We can accomplish this with the intentional application of Standards, Contra…
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Wellness isn’t just a soft and fuzzy term bandied about in the Human Resources department. Healthier, happier employees perform better, and in professions where the rubber meets the road, wellness is tactical. The trite concept of Work/Life balance isn’t so trite when lives are on the line. How do you keep yourself all happy and centered and still …
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150: Team Selection: Real-Life Fantasy Draft
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When drafting players for your fantasy sportsball team, stats provide an easy benchmark. Just pick the ones with the most home runs, passing yards, and the highest free-throw percentage. It’s a little harder selecting people for your real-life tactical team, but having a similar checklist in mind helps. In this episode Jim and Mike talk about what …
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Episode 11: Healthy Intersections Podcast: November 2023
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On the Healthy Intersections podcast for November 2023, we do a deep dive on structural racism and its effects in the United States. Joining us to talk about the new Structural Racism Effect Index (SREI) is Dr. Zach Dyer, lead author on the analysis. Check out the dashboard at SREIndex.com and the journal article in Health Affairs. A video of our d…
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149: A Good Commander Knows What to Control
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No team in law enforcement is composed of robotic textbook-following automatons, nor would we want it to be, if we’ve ever found ourselves at 2MPH over the limit. But when a worst-case incident unfolds, we want every first responder to make the right decision at the speed of life, because in those incidents seconds often equal victims. How can we r…
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The downsides of sleep deprivation are legion: irritability, poor judgment, even lowered testosterone. Yet the duties of the .mil and LE career fields are well known for demanding odd and/or long hours that can make it hard to get good sleep. Mike talks with Dr. Paul Sargent of O2X, a specialist in human performances and sleep factors, in how to ge…
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Episode 10: Healthy Intersections Podcast: October 2023
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Welcome to the Healthy Intersections podcast for October, 2023. Today's podcast focuses on the links between suicide and social determinants of health in the United States. Suicide is one of the deaths of despair, along with deaths from drug and alcohol. We will be discussing some key statistics and findings related to this topic as well as discuss…
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In the spring of 2018, the city of Austin, Texas was rocked by a string of package bombs, five in all, that killed two and injured five. The story of how local and federal agencies tracked down the perpetrator is almost all open source and a great illustration of how these investigations proceed. Listen to Jim and Mike tell the tale in this episode…
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Do you know what every great slugger in the Baseball Hall of Fame in Cooperstown had in common? They all had hitting coaches. Today we have an abundance of riches in the form of internet videos to teach almost any skill, but at some point most everyone will benefit from the feedback of a skilled coach. In this episode Mike and Jim explore the value…
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Episode 9: Healthy Intersections Podcast: September 2023
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Happy fall! This month's Healthy Intersections Podcast focuses on food and agriculture -- a timely topic during the fall harvest months. Healthy food is necessary for overall wellbeing. Yet, climate change is forcing us to confront several realities: Agriculture is one of the biggest contributors to climate change Agriculture and the food supply ar…
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145: Both Sides of the Door - Breonna Taylor and Bad Outcomes
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In the world of ugly warrant execution, there are a lot of bad scenarios that have happened with lessons to be learned for people on both sides of the door. In this episode, Mike & Jim break down a notorious recent incident: The 2020 shooting of Breonna Taylor during a narcotics warrant service in Louisville, Kentucky. While it’s about the Breonna …
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If you’re a habitual firearms toter, how do you carry to and from places where you can’t carry? Do you? What if it’s someplace where there’s no provision for securing it at your destination? Whether going to and from the neighborhood BJJ gym or visiting a military base, this can be a real dilemma for the carrier. In this episode, Jim and Mike take …
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Episode 8: Healthy Intersections Podcast: August 2023
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This month, we talk with Dr. Amanda Onwuka, a social epidemiologist and health services researcher at RTI International, as well as Jeremy Ney, author of American Inequality. We discuss the epidemic of drug overdose deaths in the US, mental health, and opioid prescribing rates, along with multi-level interventions aimed at preventing addiction and …
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143: Problem Solving As A Team Sport
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In the pop-culture tactical world today it’s common to see Col. Boyd’s Decision Cycle, the famed “OODA Loop”, applied to individuals and their actions, but indeed it has its origins as an institutional concept. If you need to solve problems as a team, or even an institution, it’s important to know how it applies to group tactics and operations. In …
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In any organization it’s almost a tradition to turn and look at the people coming up through the ranks behind you and bemoan how much better things were in the Good Old Days. Of course, things were better then because the people who had come up through the ranks before you helped mentor you into effective operators. In this episode, Jim and Mike ta…
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Episode 7: Healthy Intersections Podcast: July 2023
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Our July 2023 Healthy Intersections Podcast features the brand-new RTIRarity.io dashboard and focuses on Florida, with Lauren Pierce. Visit TheMedicalCareBlog.com for the video and transcript! And don't forget to subscribe!
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141: Having Public Affairs Without Screwing Up
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Mike reminds us that “Responsibility to the Community” is not just a slogan on a squad car door in this episode, where he and Jim talk about the necessity of keeping the public informed in a manner that is both helpful to the public and not harmful to ongoing investigations. ”Public Affairs” is more than just a job title, and requires keeping in mi…
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140: The Case of "The Mission v. The People"
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In dangerous career fields like the military or law enforcement, there’s an unavoidable tension of priorities between the mission and the safety of the people on the team who need to accomplish it. It’s one thing to say you put your people first, but if it was a safe job, they wouldn’t issue body armor. In today’s episode, Mike and Jim demonstrate …
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Episode 6: Healthy Intersections Podcast: June 2023
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Welcome to the June 2023 episode of the Healthy Intersections podcast! This month, we sit down again with Carol Schmitt, Chief Scientist at RTI International, along with Juliet Sheridan, to talk about another of the RTI Rarity interactive state maps. This time, we are looking at North Carolina. We talk about historical redlining, climate change, an…
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139: We Don't Like Bombs, The Bombs That Go Boom
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Bombs are scary. You can’t shoot back at an explosion or talk it into surrendering or leaving you alone. But you can learn ways to spot the bad guy’s device before it does its thing. In today’s episode, Jim and Mike delve into some basics of the hows, whys, and wheres of improvised explosive devices to help you develop a risk picture based on likel…
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High-stress jobs, such as those in the military or law enforcement fields, tend to attract mission-oriented people, dedicated to the team and the public, who thrive on stress. Well, plants thrive on water, too, but you can still wind up drowning them with too much of it. In today’s episode, Jim and Mike look at job-related burnout, its negative eff…
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Episode 5: Healthy Intersections Podcast: May 2023
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This month, we sit down again with Carol Schmitt, Chief Scientist at RTI International, to talk about another of the RTI Rarity interactive state maps. This time, we are looking at Oklahoma. You can watch the episode, download the audio file, and read the transcript on our blog here. And don't forget, you can subscribe to the audio version here, or…
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137: Most Danger Doesn't Come From Strangers
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Part of our mission here at Tactical Tangents is to overcome the “tactical fantasy”, and in this episode, Mike and Jim talk about avoiding one of the most pernicious ones. It’s easy in a world full of tacticool training classes to get focused on the sort of threats to ourselves and loved ones that jump out of the bushes and can be thwarted with kin…
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The wars in Iraq and Afghanistan may be over (for now) but that doesn’t leave us in a world without conflict. While we were hip-deep in the Global War on Terror, major great power competitors have been nursing grievances and feeling rising ambitions and opportunities. In this episode, Jim takes a detailed look at the state of play with respect to R…
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Episode 4: Healthy Intersections - April 2023
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This month's HIP features Part 1 of a conversation between Lisa Lines (in her professional role as Senior Health Services Researcher, RTI International, and Director of the RTI Rarity™ project) and her colleague, Dr. Carol Schmitt (Chief Scientist, RTI International). We discuss the interactive map produced by RTI International for Illinois, which …
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135: Operationally Supporting Supporters Who Operate
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In both the military and law enforcement universes, there’s often an understandable amount of friction between the people out where the action is and those who help them get there and support them in their work. In this episode, Jim and Mike discuss ways to smooth cooperation between the people behind the scenes and the officer on the street or the…
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In a cool tactical podcast, everybody wants to talk about a gunfight and nobody wants to talk about getting t-boned in an intersection on the way to the gunfight. This episode features Mike & Jim, who’ve bent enough fenders between them to have some advice to offer, talking about the realities of driving. Whether you’re driving the government’s veh…
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This month we recap the blog posts and interview Dr. Daniel Harris, whose recent paper discusses the use of antipsychotics in nursing homes.
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133: There's Nothing "Friendly" about "Friendly Fire"
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The only thing more frightening than being shot at by your own team is finding out you just shot up your own team. The very idea of fratricide…aka “Blue-on-Blue” incidents…is scary, but being a professional means you can’t just be scared, you have to work on your skills and knowledge to counter the possibility of it happening to you or because of y…
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