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Survival techniques

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Mireille Kazungu

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262,348 görüntüleme • 10 ay önce •via X (Twitter)

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Traps made in 1 minute 🪤 Survival techniques in nature: learn how to set up simple & efficient traps
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Traps made in 1 minute 🪤 Survival techniques in nature: learn how to set up simple & efficient traps

Taichi for Health

293,676 görüntüleme • 1 yıl önce

"Tactics Honed, Techniques Mastered : Joint Victory Ahead" #KonarkCorps forges the next generation warriors with nerves of steel – hardened by the enduring environment of #GreatRannOfKutch in #Gujarat. #BaldEagleBrigade undertakes focussed training with #BorderSecurityForce on Endurance, Survival & evolving Techniques, Tactics & Procedures (TTPs). The #JointTraining aims to refine drills & procedures to secure the frontiers & hone the skills of the #IndianArmedForces for #MultiDomainOperations.
0:50

"Tactics Honed, Techniques Mastered : Joint Victory Ahead" #KonarkCorps forges the next generation warriors with nerves of steel – hardened by the enduring environment of #GreatRannOfKutch in #Gujarat. #BaldEagleBrigade undertakes focussed training with #BorderSecurityForce on Endurance, Survival & evolving Techniques, Tactics & Procedures (TTPs). The #JointTraining aims to refine drills & procedures to secure the frontiers & hone the skills of the #IndianArmedForces for #MultiDomainOperations.

Konark Corps INDIAN ARMY

14,372 görüntüleme • 10 ay önce

When stress hits, your body shifts into survival mode - pulling resources away from clear thinking. That’s why everything feels harder. Different breathing techniques are a tool that brings you back to center. When you master your breath, you regain control.
3:10

When stress hits, your body shifts into survival mode - pulling resources away from clear thinking. That’s why everything feels harder. Different breathing techniques are a tool that brings you back to center. When you master your breath, you regain control.

U.S. Marshals Service

13,158 görüntüleme • 5 ay önce

Ron Howard Reveals Jim Carrey Needed Torture Survival Training To Get Through Filming The Grinch Ron Howard: “The thing that really ultimately helped was that Brian actually found somebody from, I think it was a Navy SEAL or an ex-CIA operative.” “This guy worked with Jim to help him develop survival techniques.” “And Jim made it through.” “But that moment where Jim is saying, ‘I’m done. I’ll give the money back. I’ll pay with interest.’” “‘I just can’t finish the movie.’” “I understood the kind of agony he was going through.”
0:44

Ron Howard Reveals Jim Carrey Needed Torture Survival Training To Get Through Filming The Grinch Ron Howard: “The thing that really ultimately helped was that Brian actually found somebody from, I think it was a Navy SEAL or an ex-CIA operative.” “This guy worked with Jim to help him develop survival techniques.” “And Jim made it through.” “But that moment where Jim is saying, ‘I’m done. I’ll give the money back. I’ll pay with interest.’” “‘I just can’t finish the movie.’” “I understood the kind of agony he was going through.”

Murna Elisa

16,514 görüntüleme • 7 gün önce

The Gentrification Of Hunger The rich will never accept you, but they will take what kept you alive and sell it back as luxury. Snails, sourdough, lobster, caviar, once survival food, now status symbols. Techniques born of necessity are rebranded as refinement. This is cultural arbitrage: buying low on authenticity, selling high on prestige. The result is familiar. Traditions are stripped of context, prices soar, and those who created them are priced out. Even hunger is gentrified.
2:40

The Gentrification Of Hunger The rich will never accept you, but they will take what kept you alive and sell it back as luxury. Snails, sourdough, lobster, caviar, once survival food, now status symbols. Techniques born of necessity are rebranded as refinement. This is cultural arbitrage: buying low on authenticity, selling high on prestige. The result is familiar. Traditions are stripped of context, prices soar, and those who created them are priced out. Even hunger is gentrified.

Save Our Citizenships 🔻

17,476 görüntüleme • 8 ay önce

A good documentation. This video shows practical skill development. The sub-adult cubs' interaction with the Gaur kill is "object-play," a behavioral mechanism for developing complex motor skills. It's a hands-on training, allowing them to study the prey's structure and practice survival techniques. Each interaction builds muscle memory and refines the instincts needed to become independent hunters. This is experiential learning, building raw competence through direct, practical application. VC: wanderinginthewilderness_ #Tiger #Predator ​#TigerCubs ​#Wildlife #AnimalBehaviour ​#Gaur ​#WildIndia #wildlifeconservation #wildlifeeducation
0:44

A good documentation. This video shows practical skill development. The sub-adult cubs' interaction with the Gaur kill is "object-play," a behavioral mechanism for developing complex motor skills. It's a hands-on training, allowing them to study the prey's structure and practice survival techniques. Each interaction builds muscle memory and refines the instincts needed to become independent hunters. This is experiential learning, building raw competence through direct, practical application. VC: wanderinginthewilderness_ #Tiger #Predator ​#TigerCubs ​#Wildlife #AnimalBehaviour ​#Gaur ​#WildIndia #wildlifeconservation #wildlifeeducation

Dr. PM Dhakate

111,961 görüntüleme • 11 ay önce

Welcome back, operators, to the seventh episode of the #EscapefromTarkov Field Guide. It's time to study your character's skills: what they are and what exactly they provide. At the beginning of the conflict in Tarkov our contactor was still inexperienced. Although, he has passed basic military training, it's practically impossible to prepare for such extreme conditions like we have now. You'll have to learn new survival techniques and practice them on the fly. Let's get into the details! Voiceover: USEC 3 @realFortyOne For full version visit:
2:22

Welcome back, operators, to the seventh episode of the #EscapefromTarkov Field Guide. It's time to study your character's skills: what they are and what exactly they provide. At the beginning of the conflict in Tarkov our contactor was still inexperienced. Although, he has passed basic military training, it's practically impossible to prepare for such extreme conditions like we have now. You'll have to learn new survival techniques and practice them on the fly. Let's get into the details! Voiceover: USEC 3 @realFortyOne For full version visit:

Escape from Tarkov

126,109 görüntüleme • 1 yıl önce

คลิปเตือนใจที่ไม่อยากให้เกิดขึ้นซ้ำ… เด็กชายวัย 8 ขวบจมน้ำอย่างเงียบ ๆ ในสระว่ายน้ำสาธารณะที่เต็มไปด้วยผู้คนในมณฑลหูหนาน ประเทศจีน แต่กลับไม่มีใครสังเกตเห็นในทันที การจมน้ำมักเกิดขึ้นรวดเร็วและเงียบกว่าที่คิด ไม่มีเสียงร้องขอความช่วยเหลืออย่างที่หลายคนเข้าใจ ผู้ปกครองจึงควรสอนทักษะว่ายน้ำและการเอาตัวรอดให้ลูกหลานตั้งแต่เนิ่น ๆ โดยเฉพาะก่อนเข้าสู่ฤดูร้อน #เตือนภัย #ความปลอดภัยทางน้ำ #อย่ามองข้าม A cautionary tale we don't want to see repeated… An 8-year-old boy silently drowned in a crowded public swimming pool in Hunan Province, China, yet no one noticed immediately. Drowning often happens more quickly and silently than expected. There are no cries for help as many mistakenly believe. Therefore, parents should teach their children swimming skills and survival techniques from an early age, especially before summer. #Warning #WaterSafety #DontOverlook
3:22

คลิปเตือนใจที่ไม่อยากให้เกิดขึ้นซ้ำ… เด็กชายวัย 8 ขวบจมน้ำอย่างเงียบ ๆ ในสระว่ายน้ำสาธารณะที่เต็มไปด้วยผู้คนในมณฑลหูหนาน ประเทศจีน แต่กลับไม่มีใครสังเกตเห็นในทันที การจมน้ำมักเกิดขึ้นรวดเร็วและเงียบกว่าที่คิด ไม่มีเสียงร้องขอความช่วยเหลืออย่างที่หลายคนเข้าใจ ผู้ปกครองจึงควรสอนทักษะว่ายน้ำและการเอาตัวรอดให้ลูกหลานตั้งแต่เนิ่น ๆ โดยเฉพาะก่อนเข้าสู่ฤดูร้อน #เตือนภัย #ความปลอดภัยทางน้ำ #อย่ามองข้าม A cautionary tale we don't want to see repeated… An 8-year-old boy silently drowned in a crowded public swimming pool in Hunan Province, China, yet no one noticed immediately. Drowning often happens more quickly and silently than expected. There are no cries for help as many mistakenly believe. Therefore, parents should teach their children swimming skills and survival techniques from an early age, especially before summer. #Warning #WaterSafety #DontOverlook

R here

348,409 görüntüleme • 6 ay önce

🚨 BREAKING: It's now going DARK in Iran and a lone American fighter pilot highly trained with survival techniques is waiting out for search and rescue Hopefully if any Iranians find the pilot they conceal from the regime 🙏🏻 "In the area you can tell it's a very remote region. There's not a lot of tree cover or anything there. Not a lot of people living there either." "It's not an easy place for a crew member trying to evade detection by the locals to hide out, but obviously those crew members are very well trained in the survival techniques that they need. It is now just coming up to, I believe, let me check here, 9.15pm in that area of Iran. It is pitch black there right now." "That scenario also can be a friend though to the missing crew member because obviously it makes avoiding detection easier and the search and rescue assets that are being brought to bear." "Obviously night vision is a big part of that. So we wait now to find out the fate of that second crew member." "The best case scenario, that person is found pretty quickly. The worst case scenario from a US point of view is that that person is captured and then paraded on Iranian state TV."
1:10

🚨 BREAKING: It's now going DARK in Iran and a lone American fighter pilot highly trained with survival techniques is waiting out for search and rescue Hopefully if any Iranians find the pilot they conceal from the regime 🙏🏻 "In the area you can tell it's a very remote region. There's not a lot of tree cover or anything there. Not a lot of people living there either." "It's not an easy place for a crew member trying to evade detection by the locals to hide out, but obviously those crew members are very well trained in the survival techniques that they need. It is now just coming up to, I believe, let me check here, 9.15pm in that area of Iran. It is pitch black there right now." "That scenario also can be a friend though to the missing crew member because obviously it makes avoiding detection easier and the search and rescue assets that are being brought to bear." "Obviously night vision is a big part of that. So we wait now to find out the fate of that second crew member." "The best case scenario, that person is found pretty quickly. The worst case scenario from a US point of view is that that person is captured and then paraded on Iranian state TV."

Eric Daugherty

1,948,816 görüntüleme • 6 ay önce

Four in 10 cancer cases worldwide could be prevented. •15% of all new cancer cases are caused by tobacco •10% by infections •3% by alcohol A new World Health Organization (WHO) study has examined 30 preventable causes, including high body mass index, physical inactivity, air pollution, ultraviolet radiation – and for the first time – nine cancer-causing infections. For a privileged few, early detection, innovations in health products and improvement in treatment quality — including medicines and therapy techniques — is driving survival beyond 70%. For most people, cancer remains a death sentence—compounded by devastating financial hardship. World Health Organization (WHO) is working with governments to advance policies and equitable access to tools that protect people and families. More findings from the analysis here:
0:56

Four in 10 cancer cases worldwide could be prevented. •15% of all new cancer cases are caused by tobacco •10% by infections •3% by alcohol A new World Health Organization (WHO) study has examined 30 preventable causes, including high body mass index, physical inactivity, air pollution, ultraviolet radiation – and for the first time – nine cancer-causing infections. For a privileged few, early detection, innovations in health products and improvement in treatment quality — including medicines and therapy techniques — is driving survival beyond 70%. For most people, cancer remains a death sentence—compounded by devastating financial hardship. World Health Organization (WHO) is working with governments to advance policies and equitable access to tools that protect people and families. More findings from the analysis here:

Tedros Adhanom Ghebreyesus

58,924 görüntüleme • 8 ay önce

Ron Howard reveals how surprising Jim Carrey with Don Knotts, and CIA torture training helped him survive The Grinch "Jim Carrey idolizes you, and he's going through hell on this project" "I snuck Don in and through the speaker I said, 'Hey Jim, look over here... somebody down here wants to see you.' He squinted through those contact lenses and he could see it was Don Knotts" "He immediately went into his Don Knotts impression. Jim's a genius impressionist... he did a perfect Don Knotts in the Grinch costume" "The whole crew was just laughing. He came down, spent an hour hanging out with Don, and it really elevated him" "The thing that really ultimately helped was that Brian actually found somebody... a Navy SEAL or an ex-CIA operative who trained agents how to deal with torture... to help him develop survival techniques. And Jim made it through"
1:23

Ron Howard reveals how surprising Jim Carrey with Don Knotts, and CIA torture training helped him survive The Grinch "Jim Carrey idolizes you, and he's going through hell on this project" "I snuck Don in and through the speaker I said, 'Hey Jim, look over here... somebody down here wants to see you.' He squinted through those contact lenses and he could see it was Don Knotts" "He immediately went into his Don Knotts impression. Jim's a genius impressionist... he did a perfect Don Knotts in the Grinch costume" "The whole crew was just laughing. He came down, spent an hour hanging out with Don, and it really elevated him" "The thing that really ultimately helped was that Brian actually found somebody... a Navy SEAL or an ex-CIA operative who trained agents how to deal with torture... to help him develop survival techniques. And Jim made it through"

CryptoJoe

400,806 görüntüleme • 3 ay önce

🇮🇱🇸🇦 The Secret Israeli Hitmen Backing MBS Mossad's protection of Saudi Crown Prince Mohammed bin Salman (MBS) constitutes a deepening alliance between Israel and Saudi Arabia, driven by shared anti-Iranian interests. MBS hired former Mossad agents through Israeli private security firms like Black Cube, which previously targeted Iranian nuclear scientists. This alliance involves MBS's 2018 purge of royal rivals, during which Mossad-trained operatives assisted in rounding up and torturing princes. In 2019, Mossad provided intelligence to thwart a plot by Turkish-backed dissidents to assassinate MBS in Riyadh. Mossad has also aided MBS in tracking and silencing critics abroad, notably the 2018 murder of journalist Jamal Khashoggi in Istanbul. Mossad tipped off MBS about Khashoggi's plans to expose Saudi-Israeli cooperation, precipitating his brutal killing inside the Saudi consulate. Currently, Mossad agents are embedded within MBS's personal security detail, instructing his bodyguards in counter-surveillance and assassination techniques. This alliance consolidates Israel's influence in Saudi Arabia while ensuring MBS's survival against internal threats. Consulted Sources
1:14

🇮🇱🇸🇦 The Secret Israeli Hitmen Backing MBS Mossad's protection of Saudi Crown Prince Mohammed bin Salman (MBS) constitutes a deepening alliance between Israel and Saudi Arabia, driven by shared anti-Iranian interests. MBS hired former Mossad agents through Israeli private security firms like Black Cube, which previously targeted Iranian nuclear scientists. This alliance involves MBS's 2018 purge of royal rivals, during which Mossad-trained operatives assisted in rounding up and torturing princes. In 2019, Mossad provided intelligence to thwart a plot by Turkish-backed dissidents to assassinate MBS in Riyadh. Mossad has also aided MBS in tracking and silencing critics abroad, notably the 2018 murder of journalist Jamal Khashoggi in Istanbul. Mossad tipped off MBS about Khashoggi's plans to expose Saudi-Israeli cooperation, precipitating his brutal killing inside the Saudi consulate. Currently, Mossad agents are embedded within MBS's personal security detail, instructing his bodyguards in counter-surveillance and assassination techniques. This alliance consolidates Israel's influence in Saudi Arabia while ensuring MBS's survival against internal threats. Consulted Sources

Amir Jafar

62,097 görüntüleme • 6 gün önce

Here is a clip from last night's Poilievre's rally that CBC News isn't showing today because their survival depends on creating the false illusion that Carney can control Trump "Almost every country in the world got a pause on American tariffs, but not us." "Almost every country in the world got a pause on American tariffs, but not us. He said that he had made progress with the President. What progress?" "And no one can control this president." " Carney is running his entire campaign on a false promise that he can control the President through magical, masterful negotiating techniques. Well, we know now that that is not true." "Carney would ask you to overlook an entire decade of rising costs and crime and falling economy that is under the thumb of the Americans simply because he promises that somehow he's a master negotiator." "What we are deciding in this election is can we afford a fourth liberal term of rising costs and crime and a weakened economy?" Pierre Poilievre
3:19

Here is a clip from last night's Poilievre's rally that CBC News isn't showing today because their survival depends on creating the false illusion that Carney can control Trump "Almost every country in the world got a pause on American tariffs, but not us." "Almost every country in the world got a pause on American tariffs, but not us. He said that he had made progress with the President. What progress?" "And no one can control this president." " Carney is running his entire campaign on a false promise that he can control the President through magical, masterful negotiating techniques. Well, we know now that that is not true." "Carney would ask you to overlook an entire decade of rising costs and crime and falling economy that is under the thumb of the Americans simply because he promises that somehow he's a master negotiator." "What we are deciding in this election is can we afford a fourth liberal term of rising costs and crime and a weakened economy?" Pierre Poilievre

cbcwatcher

47,342 görüntüleme • 1 yıl önce

John Kiriakou: Inside the CIA and the Cost of Speaking Out | My Price Is My Life Ep #22 In this episode of My Price Is My Life, James O’Keefe sits down with former CIA officer and whistleblower John Kiriakou, who spent nearly 15 years inside the agency as both an analyst and operations officer, including overseas assignments in Greece and a senior counterterrorism role in Pakistan following the September 11th attacks. Kiriakou discusses his path into the CIA, his involvement in counterterrorism operations, and his firsthand experience with the CIA interrogation program. He also recounts becoming the first U.S. government official to publicly confirm the use of waterboarding, the fallout that followed, and the personal cost of speaking out. (00:00) Introduction & CIA Career (12:02) Undercover Journalism & Intelligence Sources (13:53) Epstein Case Discussion (15:56) CIA Interrogations & Torture Program (20:30) What Makes This Investigation Different (23:24) Decision To Go Public (28:02) Torture Techniques & Internal Reactions (28:30) Interrogation Methods Discussion (34:03) FBI Audio Leaks Discussion (34:51) Handling Prison and Survival Behind Bars (37:17) Fallout and Decisions After Going Public Follow John Kiriakou X: John Kiriakou Watch the full episode at:
1:31:18

John Kiriakou: Inside the CIA and the Cost of Speaking Out | My Price Is My Life Ep #22 In this episode of My Price Is My Life, James O’Keefe sits down with former CIA officer and whistleblower John Kiriakou, who spent nearly 15 years inside the agency as both an analyst and operations officer, including overseas assignments in Greece and a senior counterterrorism role in Pakistan following the September 11th attacks. Kiriakou discusses his path into the CIA, his involvement in counterterrorism operations, and his firsthand experience with the CIA interrogation program. He also recounts becoming the first U.S. government official to publicly confirm the use of waterboarding, the fallout that followed, and the personal cost of speaking out. (00:00) Introduction & CIA Career (12:02) Undercover Journalism & Intelligence Sources (13:53) Epstein Case Discussion (15:56) CIA Interrogations & Torture Program (20:30) What Makes This Investigation Different (23:24) Decision To Go Public (28:02) Torture Techniques & Internal Reactions (28:30) Interrogation Methods Discussion (34:03) FBI Audio Leaks Discussion (34:51) Handling Prison and Survival Behind Bars (37:17) Fallout and Decisions After Going Public Follow John Kiriakou X: John Kiriakou Watch the full episode at:

James O'Keefe

49,657 görüntüleme • 8 ay önce

It’s Time to Shift Mindsets: Every Active Shooter Is a Potential Suicide Bomber Be wary of black puffer coats as they’re one of the easiest garments to conceal bombs inside, and Al-Qaeda has shown that repeatedly, including in their December 2023 video teasing their upcoming homeland plot. At least 10% of the attackers in the homeland plot are expected to be suicide bombers. That means you can’t treat an active shooter as “just” an active shooter anymore. You must assume he’s also a suicide bomber because that’s exactly how they designed it. Here are some basic SOPs for civilians and venue staff when a shooter may also be a suicide bomber: (1) Distance is survival: If a bomber is still mobile, the blast radius is the threat. Move away and create as much distance as possible: 30–50 feet minimum, 100+ if available. (2) Don’t rush to “help” the downed attacker: If the attacker drops, do not approach. Many vests use dead-man switches, pressure triggers, delayed chemical binaries, or can be remotely detonated by an overwatch. (3) Also, in the same vein, don’t dogpile an attacker: limit engagement to 1–3 responders to reduce the risk of additional casualties. Focus on controlling the attacker’s hands. The most critical element in any close-quarters fight is using firm, targeted restraint techniques to prevent detonation or access to a weapon. (4) Avoid chokepoints: Stairwells, elevators, and bottlenecks become kill zones in a blast. Keep moving toward open space and hard structure. (5) Expect secondary devices: Al-Qaeda doctrine routinely includes follow-on blasts. Treat abandoned bags, jackets, or dropped items as potential IEDs. (6) Clothing–behavior mismatch matters: Watch for heavy coats indoors or in warm climates, and for uneven weight distribution inside of clothing. Also, watch for attempts to evade placing items on belt scanners. (7) Choose hard cover, not concealment: Concrete, pillars, and engine blocks save lives. Drywall and furniture do not. (8) Communicate the right words: When calling 911, say: “Active shooter, possible suicide vest.” It triggers an immediate tactical shift in response. Law enforcement around the country has been preparing for this scenario, give them a leg up with concise reporting. (9) Control the flow. Push crowds away from the attacker, not toward him. Prevent panic surges toward gunfire as suicide bombers seek density. (10) After evacuation, don’t cluster. Most mass-casualty terrorist attacks anticipate crowds gathering outside. Move far and disperse; attackers often plan waves, and clustering makes you a target for a secondary strike. (11) Bombs may contain caustic chemicals. Stay clear of the area until a full HAZMAT assessment is completed. If you feel weak, dizzy, or unwell, seek medical evaluation immediately.
0:29

It’s Time to Shift Mindsets: Every Active Shooter Is a Potential Suicide Bomber Be wary of black puffer coats as they’re one of the easiest garments to conceal bombs inside, and Al-Qaeda has shown that repeatedly, including in their December 2023 video teasing their upcoming homeland plot. At least 10% of the attackers in the homeland plot are expected to be suicide bombers. That means you can’t treat an active shooter as “just” an active shooter anymore. You must assume he’s also a suicide bomber because that’s exactly how they designed it. Here are some basic SOPs for civilians and venue staff when a shooter may also be a suicide bomber: (1) Distance is survival: If a bomber is still mobile, the blast radius is the threat. Move away and create as much distance as possible: 30–50 feet minimum, 100+ if available. (2) Don’t rush to “help” the downed attacker: If the attacker drops, do not approach. Many vests use dead-man switches, pressure triggers, delayed chemical binaries, or can be remotely detonated by an overwatch. (3) Also, in the same vein, don’t dogpile an attacker: limit engagement to 1–3 responders to reduce the risk of additional casualties. Focus on controlling the attacker’s hands. The most critical element in any close-quarters fight is using firm, targeted restraint techniques to prevent detonation or access to a weapon. (4) Avoid chokepoints: Stairwells, elevators, and bottlenecks become kill zones in a blast. Keep moving toward open space and hard structure. (5) Expect secondary devices: Al-Qaeda doctrine routinely includes follow-on blasts. Treat abandoned bags, jackets, or dropped items as potential IEDs. (6) Clothing–behavior mismatch matters: Watch for heavy coats indoors or in warm climates, and for uneven weight distribution inside of clothing. Also, watch for attempts to evade placing items on belt scanners. (7) Choose hard cover, not concealment: Concrete, pillars, and engine blocks save lives. Drywall and furniture do not. (8) Communicate the right words: When calling 911, say: “Active shooter, possible suicide vest.” It triggers an immediate tactical shift in response. Law enforcement around the country has been preparing for this scenario, give them a leg up with concise reporting. (9) Control the flow. Push crowds away from the attacker, not toward him. Prevent panic surges toward gunfire as suicide bombers seek density. (10) After evacuation, don’t cluster. Most mass-casualty terrorist attacks anticipate crowds gathering outside. Move far and disperse; attackers often plan waves, and clustering makes you a target for a secondary strike. (11) Bombs may contain caustic chemicals. Stay clear of the area until a full HAZMAT assessment is completed. If you feel weak, dizzy, or unwell, seek medical evaluation immediately.

Sarah Adams

75,876 görüntüleme • 10 ay önce

George Tolis: TAVR, Broken Training, and What's Really Wrong With Cardiac Surgery. Dr. George Tolis, section chief of coronary and general cardiac surgery at Brigham and Women's Hospital, joins Drs. Koka and DiGiorgio for a wide-ranging conversation on the state of cardiac surgery. He makes the case that TAVR — while genuinely transformative for the right patient — is being systematically applied too broadly, driven by industry incentive and the erosion of meaningful surgical consent. He discusses his collaboration with John Ioannidis that found no statistically significant mortality benefit for any new cardiac surgery technique introduced over the past 35 years, the paper's rejection by every major surgical journal, and what he paid out of pocket to make it open access. The conversation moves to the collapse of surgical training — fragmented pathways, work hour restrictions that leave residents unprepared for attending life, an academic promotion system that ignores teaching, and a culture that routes incompetent trainees around rather than out — and closes with a brief on Vasily Kolesov, the Soviet surgeon from Leningrad who performed the world's first documented coronary bypass years before Favaloro, and whose work was buried by the Cold War. Chapter Markers 00:00 Introduction 01:02 Air-cooled VWs, concert piano, and how Dr. Tolis got here 02:40 TAVR: genuine breakthrough or being abused? 08:02 Finding the TAVR threshold — and why informed consent is the real problem 11:46 Collaborating with John Ioannidis: no mortality benefit for 35 years of new techniques 20:02 Why the major surgical journals wouldn't touch the paper 21:52 Minimally invasive surgery: minimal access vs. minimally invasive 26:24 When do CABG survival curves diverge — and what does it mean? 30:05 Surgeons signing off on TAVRs in young patients 33:51 Health system economics and the heart team dynamic 37:50 How to actually pick a good surgeon (ask the scrub nurses) 40:36 Cardiac surgery training: the three pathways problem 44:04 Work hour restrictions and the residency simulation gap 51:16 General surgery is like MTV — they don't operate anymore 53:21 A resident who finished training without ever applying a cross-clamp 56:34 How to evaluate if a program actually trains 59:27 Academic promotion has nothing to do with teaching 01:01:33 Dr. Tolis's resident outcomes database and three papers nobody cared about 01:05:32 The training timeline: finishing at 49, no runway left 01:07:08 One-size-fits-all RRC rules for cardiac surgery and psychiatry 01:09:16 Cardiac surgery as a disposition, not a therapy 01:12:24 When ECMO becomes the final common path 01:13:38 How you become nationally recognized without being a good surgeon 01:17:16 Vasily Kolesov: the Soviet surgeon who did the first bypass Co-Host Handles Anish Koka, MD and Anthony DiGiorgio, DO, MHA Show Handle The Doctor’s Lounge Podcast Subscribe Links Spotify: Apple Podcasts: YouTube:
1:11:05

George Tolis: TAVR, Broken Training, and What's Really Wrong With Cardiac Surgery. Dr. George Tolis, section chief of coronary and general cardiac surgery at Brigham and Women's Hospital, joins Drs. Koka and DiGiorgio for a wide-ranging conversation on the state of cardiac surgery. He makes the case that TAVR — while genuinely transformative for the right patient — is being systematically applied too broadly, driven by industry incentive and the erosion of meaningful surgical consent. He discusses his collaboration with John Ioannidis that found no statistically significant mortality benefit for any new cardiac surgery technique introduced over the past 35 years, the paper's rejection by every major surgical journal, and what he paid out of pocket to make it open access. The conversation moves to the collapse of surgical training — fragmented pathways, work hour restrictions that leave residents unprepared for attending life, an academic promotion system that ignores teaching, and a culture that routes incompetent trainees around rather than out — and closes with a brief on Vasily Kolesov, the Soviet surgeon from Leningrad who performed the world's first documented coronary bypass years before Favaloro, and whose work was buried by the Cold War. Chapter Markers 00:00 Introduction 01:02 Air-cooled VWs, concert piano, and how Dr. Tolis got here 02:40 TAVR: genuine breakthrough or being abused? 08:02 Finding the TAVR threshold — and why informed consent is the real problem 11:46 Collaborating with John Ioannidis: no mortality benefit for 35 years of new techniques 20:02 Why the major surgical journals wouldn't touch the paper 21:52 Minimally invasive surgery: minimal access vs. minimally invasive 26:24 When do CABG survival curves diverge — and what does it mean? 30:05 Surgeons signing off on TAVRs in young patients 33:51 Health system economics and the heart team dynamic 37:50 How to actually pick a good surgeon (ask the scrub nurses) 40:36 Cardiac surgery training: the three pathways problem 44:04 Work hour restrictions and the residency simulation gap 51:16 General surgery is like MTV — they don't operate anymore 53:21 A resident who finished training without ever applying a cross-clamp 56:34 How to evaluate if a program actually trains 59:27 Academic promotion has nothing to do with teaching 01:01:33 Dr. Tolis's resident outcomes database and three papers nobody cared about 01:05:32 The training timeline: finishing at 49, no runway left 01:07:08 One-size-fits-all RRC rules for cardiac surgery and psychiatry 01:09:16 Cardiac surgery as a disposition, not a therapy 01:12:24 When ECMO becomes the final common path 01:13:38 How you become nationally recognized without being a good surgeon 01:17:16 Vasily Kolesov: the Soviet surgeon who did the first bypass Co-Host Handles Anish Koka, MD and Anthony DiGiorgio, DO, MHA Show Handle The Doctor’s Lounge Podcast Subscribe Links Spotify: Apple Podcasts: YouTube:

The Doctor’s Lounge Podcast

69,129 görüntüleme • 5 ay önce

I completed 34 spays and neuters today—before noon. I’m posting every spay and neuter I perform until Texas A&M University stops killing animals for student training. Every veterinary student should graduate having performed at least 50 spays and neuters. Instead, some students are still being trained through terminal labs—killing healthy animals to practice a handful of procedures. Through public records requests, we reviewed Texas A&M protocols that request permission to kill: • 240 dogs • 43 goats • 48 birds Additional protocols include: • Up to 10 horses per year killed for equine surgery training • Turtles pithed—a procedure involving destruction of the brain—for physiology demonstrations that teach no clinical skills and have readily available non-lethal alternatives These animals are not suffering from conditions requiring euthanasia. High-volume spay/neuter, shelter partnerships, and modern teaching tools exist. I did not perform these labs in veterinary school—and I am not a less capable veterinarian because of it. If you are a Texas A&M student or alum and want to share your experience—or challenge this—reach out: info@ourhonor.org --- Among the records we obtained from Texas A&M University were the following protocols: · Creation of embalmed cadavers and teaching aids: In this protocol, 240 dogs, 43 goats, and 48 birds are purchased and killed to teach anatomy to veterinary students, graduate students, and undergraduates. These animals are not suffering from conditions necessitating medical euthanasia. · Equine euthanasia for cadaver surgery training: In this protocol, up to 10 horses are killed each year to train veterinary residents. While some horses are donated for euthanasia due to chronic, irreversible illnesses, some are also sourced from internal protocols. · Properties of cardiac muscle (teaching laboratory exercise for VTPP 423 & VTPP 910): Two turtles a year are chemically pithed and used in live demonstrations to demonstrate “electrical and mechanical events of the turtle heart” to veterinary students (additional turtles are also killed to perform this demonstration to undergraduates). Turtles are purchased from a vendor. This demonstration lacks educational merit as it does not teach any clinical skills, nor is there any justifiable reason to perform this demonstration when there are many other ways to teach the principles illustrated using teaching methods that do not involve the killing of healthy animals. · VMID 935-301, Surgery 1: In this protocol, 162 goats and/or sheep are purchased and then used in terminal teaching exercises to teach veterinary students surgical techniques. The instructors justify the protocol by stating that hemostasis techniques cannot be learned in simulators, models, or cadavers, although research has shown that these are effective methods of teaching hemostasis. This is also not a justification for doing terminal surgeries – most other schools successfully teach students castration and ovariohysterectomy as survival surgeries on shelter animals without requiring terminal surgeries as practice. · Reptile and Amphibian Teaching Labs: This protocol is for teaching vet students handling, and procedures on frogs and/or toads. Up to 20 animals are killed per year at the end of the lab. The animals are acquired through vendors, pet stores, or internal protocols. Some may be adopted instead of euthanized, but it is unclear how many survive. The animals used are otherwise healthy. · ACVIM Large Animal Internal Medicine Bootcamp (every two years): This protocol requires up to two horses to be killed and their cadavers used for teaching residents advanced medical procedures. This event appears to take place every two years, although it is unclear if it is still ongoing. The horses are sourced from the university herd and do not appear to be slated for medical euthanasia. Several protocols use mostly donated animals, and we encourage you to expand your donation program, particularly for cadavers. · Animal use for teaching through the Educational Memorial Program: Donated animals are used to create cadavers that are then used in teaching veterinary students, graduate and undergraduate students. The number and species of cadavers depends on availability. · Student Chapter of AAEP: In this protocol, 8 horse cadavers were used for teaching veterinary students from around the country. Procedures taught include laparoscopy, abdominal explore, laceration repair, necropsy, and emergency/critical care. It is unclear if this protocol recurs or if it was a one-time event. Most of the horses were donated for medical reasons, but some were sourced from the university herds, and it is unclear if they were slated for medical euthanasia. · Student Chapters of the American Association of Bovine Practitioners, Small Ruminant Practitioners, and Swine Practitioners skills teaching wetlab: Four terminally ill calves were donated for this lab teaching vet students euthanasia and necropsy skills. It is unclear if this event occurs on a regular basis. #vetmed #vetstudent #vetschool #veterinarian #spayandneuter #vettwitter
2:54

I completed 34 spays and neuters today—before noon. I’m posting every spay and neuter I perform until Texas A&M University stops killing animals for student training. Every veterinary student should graduate having performed at least 50 spays and neuters. Instead, some students are still being trained through terminal labs—killing healthy animals to practice a handful of procedures. Through public records requests, we reviewed Texas A&M protocols that request permission to kill: • 240 dogs • 43 goats • 48 birds Additional protocols include: • Up to 10 horses per year killed for equine surgery training • Turtles pithed—a procedure involving destruction of the brain—for physiology demonstrations that teach no clinical skills and have readily available non-lethal alternatives These animals are not suffering from conditions requiring euthanasia. High-volume spay/neuter, shelter partnerships, and modern teaching tools exist. I did not perform these labs in veterinary school—and I am not a less capable veterinarian because of it. If you are a Texas A&M student or alum and want to share your experience—or challenge this—reach out: [email protected] --- Among the records we obtained from Texas A&M University were the following protocols: · Creation of embalmed cadavers and teaching aids: In this protocol, 240 dogs, 43 goats, and 48 birds are purchased and killed to teach anatomy to veterinary students, graduate students, and undergraduates. These animals are not suffering from conditions necessitating medical euthanasia. · Equine euthanasia for cadaver surgery training: In this protocol, up to 10 horses are killed each year to train veterinary residents. While some horses are donated for euthanasia due to chronic, irreversible illnesses, some are also sourced from internal protocols. · Properties of cardiac muscle (teaching laboratory exercise for VTPP 423 & VTPP 910): Two turtles a year are chemically pithed and used in live demonstrations to demonstrate “electrical and mechanical events of the turtle heart” to veterinary students (additional turtles are also killed to perform this demonstration to undergraduates). Turtles are purchased from a vendor. This demonstration lacks educational merit as it does not teach any clinical skills, nor is there any justifiable reason to perform this demonstration when there are many other ways to teach the principles illustrated using teaching methods that do not involve the killing of healthy animals. · VMID 935-301, Surgery 1: In this protocol, 162 goats and/or sheep are purchased and then used in terminal teaching exercises to teach veterinary students surgical techniques. The instructors justify the protocol by stating that hemostasis techniques cannot be learned in simulators, models, or cadavers, although research has shown that these are effective methods of teaching hemostasis. This is also not a justification for doing terminal surgeries – most other schools successfully teach students castration and ovariohysterectomy as survival surgeries on shelter animals without requiring terminal surgeries as practice. · Reptile and Amphibian Teaching Labs: This protocol is for teaching vet students handling, and procedures on frogs and/or toads. Up to 20 animals are killed per year at the end of the lab. The animals are acquired through vendors, pet stores, or internal protocols. Some may be adopted instead of euthanized, but it is unclear how many survive. The animals used are otherwise healthy. · ACVIM Large Animal Internal Medicine Bootcamp (every two years): This protocol requires up to two horses to be killed and their cadavers used for teaching residents advanced medical procedures. This event appears to take place every two years, although it is unclear if it is still ongoing. The horses are sourced from the university herd and do not appear to be slated for medical euthanasia. Several protocols use mostly donated animals, and we encourage you to expand your donation program, particularly for cadavers. · Animal use for teaching through the Educational Memorial Program: Donated animals are used to create cadavers that are then used in teaching veterinary students, graduate and undergraduate students. The number and species of cadavers depends on availability. · Student Chapter of AAEP: In this protocol, 8 horse cadavers were used for teaching veterinary students from around the country. Procedures taught include laparoscopy, abdominal explore, laceration repair, necropsy, and emergency/critical care. It is unclear if this protocol recurs or if it was a one-time event. Most of the horses were donated for medical reasons, but some were sourced from the university herds, and it is unclear if they were slated for medical euthanasia. · Student Chapters of the American Association of Bovine Practitioners, Small Ruminant Practitioners, and Swine Practitioners skills teaching wetlab: Four terminally ill calves were donated for this lab teaching vet students euthanasia and necropsy skills. It is unclear if this event occurs on a regular basis. #vetmed #vetstudent #vetschool #veterinarian #spayandneuter #vettwitter

Crystal Heath DVM

22,630 görüntüleme • 10 ay önce