Since the horrific murders in Newtown, CT, last week, America has been gripped by a near-hysterical public debate about what to do to prevent such a thing from happening again. Not surprisingly, the usual gun-hating politicians are crying out for more stringent gun control laws, as if Connecticut's existing and very stringent gun laws were inadequate.

And it's no surprise that no politicians are crying out for curbs on the ultra-violent influences our kids are exposed to in video games, TV, and movies. No politicians are suggesting that the mainstream media's obsession with glorifying insane killers like Adam Lanza needs to stop. And so far the politicians have only paid lip service to the shameful underfunding of mental health care in this nation.

If anything good comes out of this tragedy, it might be what some people are proposing as the Lanza test. The test is simple:  just ask if some proposed solution would have stopped or limited what Adam Lanza was able to do. If the answer is no or little, then find a better solution. Here are some examples:

1. Would having locked security doors stopped Lanza? No. Not if he could break or shoot out glass panels and get in, which is what he did.

2. Would requiring background checks at gun show have stopped Lanza? No. He murdered the person who legally purchased the guns and took them. Lanza was too young to purchase those guns himself under state law. Same for waiting periods, required training, and safety locks, none of which would have stopped or limited what Adam Lanza was able to do.

3. Would banning all assault weapons and semi-auto pistols have stopped Lanza? No. Only if you think a body count of 10 or 12 is okay, which might be how many kids he could have killed using two revolvers and a pump shotgun.

4. Would arming teachers and principals have stopped Lanza? Yes. It is probable that no one, or possibly only a few adults would have been shot before Lanza was stopped and likely no kids would have been killed.

Now if we can get politicians to use the Lanza test we might actually find ways to protect kids.

Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn

I was privileged to be asked by Kathy Jackson of Concealed Carry Magazine to write an article on SXRV. You can check it out in the latest issue (Vol. 9, Issue 7, October 2012) or by loggin in to  Kathy did a great job of editing the article and improving my amateurish photos and illustrations. Way to go, Kathy!

In other news, I returned this past week from a successful hunting trip to Wyoming.

This was the 5th annual reunion of a bunch of guys that my friend Keith and I have gathered up for an annual Antelope Armaggedon. This year was surprisingly cold and snowy, which really played hell with the antelope hunting. Fortunately, good guiding by Keith and Larry, and some amazing shooting with a great rifle that Keith provided that could reach out and kill speedgoats at nearly 1000 yards turned the tide!  I brought home 3 tasty animals, which will provide the bulk of our winter's meat here in West Texas, and will provide about 40 pounds of antelope/pork smoked sausage for the annual Reagan County Big Game Supper coming up the Saturday after Thanksgiving.

I have a couple more hunts scheduled this fall, and in the meantime I'm preparing for my recurring Family Medicine Board exam in November. Not to mention that my Concussion Clinic duties are really taking off. So I may be even LESS likely to post regular blogs than I usually do.

So in the meantime, y'all stay safe, and have a great fall and/or hunting season.

Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn

I recently did a radio-type "podcast" interview with Ryan Rocquin, who runs a firearms-oriented podcast website. This interview will be put out on Monday, September 3, 2012 (Labor Day). If you feel like hearing me bloviate for an hour, you can catch it any time after Monday at the following website:

Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn

This material is likely Old Hat to most of the members here at  But over the past year or so I've noticed an encroaching mentality on numerous internet forums which I can only describe as willful stupidity about the realities of the use of deadly force. People are using terms like "castle doctrine" and other blather as if these are magic words that will somehow preserve them from unpleasantness if they should find themselves forced to use deadly force against another person.

I realize that most people making these statements have no training in the law, in police policy and procedure, and certainly no training in the use of force of any kind, let alone the use of deadly force. But they persist in spouting their nonsense to all and sundry from some misguided sense of righteousness, and so many of them are saying it so often that more and more people are starting to believe it. I think it's time those of us who have experience or even expertise in the use of deadly force need to speak up and slap these idiots and their foolishness down. Good people's lives are at risk as long as this nonsense is allowed to be promulgated without challenge.

If you agree with what I've written here, I encourage you to copy and paste it into an email and send it to the people you think need to read it.

I've been dealing with the realities of the use of force and the use of deadly force for close to 20 years now. In that time I've seen the consequences of it up close and personal... fortunately, not in a way that has destroyed my life. But I've seen a lot of people's lives destroyed by their ignorance of the realities of use of deadly force.

If you don't believe me, dig out the last 5 years of American Handgunner and read The Ayoob Files in each issue. Ayoob doesn't dwell on it, but the life-destruction suffered by the people he writes about is horrific.

So here's the short version of what I know to be true about the use of a handgun (or any firearm, for that matter) in an act of self-defense:

1. If you carry or even own a firearm for purposes of self-defense, you are an idiot if you don't spend the money and time to get training. I'm not talking basic handgun training. I'm talking about training in the use of deadly force.

2. There are 3 people in America who conduct this training at the highest level. Their names are Massad Ayoob, John Farnam, and Clint Smith. Massad Ayoob's class is probably the most accessible. After I took his LFI-I class in 1998, I went home and registered my entire family for the class. I have since come to realize that John and Clint teach much the same material. And I state without equivocation that if you don't take one of these guys' classes but you still intend to use your firearm for self-defense, you're just asking to have your life destroyed.

3. You can get these Ayoob's and Farnam's training for about the price of a good handgun and a holster and a year's supply of ammunition (if you ever bother to practice with that fancy gun, which most handgun owners don't, of course). Smith will run you a bit more, but what he teaches is worth the extra dough. If you have a safe full of guns and you haven't taken training in the use of deadly force, you're lying about being serious about armed self-defense.

4. If you shoot somebody, even if you did so in what you think was self-defense, have realistic expectations about what is likely to happen.
a. EXPECT to be arrested and charged.
b. Expect to be handcuffed and taken to jail.
c. Expect a very nasty series of interrogations.
d. Expect to have to hire a good lawyer, and expect to spend the next 1-2 years defending yourself.
e. Expect to have to mortgage your house and liquidate all your assets to pay your legal costs.
f. Expect to lose your guns.
Start with these expectations, because they are far more likely than the chances you are going to be allowed to go home and sleep in your own bed for a while. (But if you've taken appropriate deadly force training, your chances of making it through this horror relatively unscathed is much better than if you follow all the advice you've been reading on the internet.)

5. If you live in a place like rural Texas or Montana, most of what I've described in #4 probably won't happen. If you live in a major city or in a Blue state, most of #4 is likely. But much of it will happen, even if you did everything right.

6. Life isn't fair. Deal with it.

7. The police are not going to be your friends if you shoot somebody. It's their job to arrest and charge people who shoot other people, and then let the legal system sort it out. They don't care if you think you're a good guy.

8. The prosecutors are not going to be your friends if you shoot somebody. It's their job to put you in prison for the rest of your life, whether you deserve to be there or not. They don't care if you think you're a good guy.

9. Your friends and family--most of them--are not going to be friendly to you if you shoot somebody. People regard killers of other people as pariahs. They don't care that you think you're a good guy, and that you did everything right.

10. If you haven't realized by now that you need some training in the use of deadly force and how to deal with the aftermath, I don't think there's any hope for you.

Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn

We will be holding a Shooting with Xray Vision for Civilians  class (SXRV-C) at the Sand Burr Gun Ranch outside of Rochester, Indiana, on September 9, 2012. Our host and old friend, Denny Reichard, has a great shooting venue at the Gun Ranch. In addition to being one of the best Smith & Wesson revolversmiths in the world, he's also a man with a great sense of humor and has his priorities in order.

As usual, our SXRV class will cover the fundamentals you NEED to know  in order to maximize your ability to neutralize a deadly threat. The course covers in detail: terminal ballistics, gunshot wounding and incapacitation, human physiology, and critical 3-dimensional human anatomy. Course tuition is $150.00. 

You can register for the class by calling the Sand Burr Gun Ranch (574.223.3316) and ask for Ashley, or shoot me an email at This email address is being protected from spambots. You need JavaScript enabled to view it.

Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn


On August 1, 2012,Reagan County Sheriff's Deputy Josh Mitchell died under my care.

He had been shot with a rifle by a chronic meth-head here in my little West Texas town about 90 minutes before I finally gave him up to the Lord and admitted there was nothing more I can do. I, and my entire trauma team, worked our ass off trying to save Josh's life. I spent 20+ hours from the time Josh got shot to the time the perp tried to eat his gun (typically for him, a botched job) trying to marshal our small hospital's resources to be as prepared as we could be to meet the needs of whatever might have come down the pike. I was deathly afraid that I was goiing to have two or three wounded cops in my ER in the next few hours. I can't begin to describe what I, and key hospital staff, had to do in the hours after Josh's death to be prepared for the deaths and injuries we were obligated to be prepared for.

I am a damned good trauma doc. I have saved lives more than a few times, but I've lost a lot more than I've saved. I have enormous resources at my command in virtually any ER I work here in America, but resources and skill can't save the life of someone whose injuries are beyond repair. 

Josh's GSW was not survivable. If he'd been shot in the lobby of Odessa General, our closest Level I trauma center, he'd have died. But knowing that doesn't kill the sadness I feel for not being able to save him. 

I feel surrounded by loss and doubt at this time. We have had our debriefings, our group counselling session that did an enormous amount of good for the folk who do what they do in our little rural county. These folk have been overwhelmed by this situation, and I think we've accomplished the first steps in the healing for them. 

But for me, there's no one. I'm not saying this as an expectation of a pity party. But really, there's no one who can feel what I feel, other than a handful of smalltown ER docs scattered around the country. I only know a few, and tomorrow (today, really, as I type this.... it's 4 am) I will be calling the 3 or 4 guys who, like me, are small town ER docs with Big  City ER experience and attitudes to bounce this stuff off of. 

As my good friend Gail Pepin, an ER nurse, says: "If they die, they die."

She's right.

But here in Small Town America, it hurts to know she's right.

Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn

We are getting pumped and ready for our June 22 Tactical Treatment of Gunshot Wounds class at Hennepin Tech College in Brooklyn Park MN.

If you are interested in this class and haven't made the final decision to attend, DO SO NOW!!! Enrollment is low for this class, so there is PLENTY of room for you. This class is open to both law enforcement and non-sworn civilian personnel.

Contact me a.s.a.p. by email (This email address is being protected from spambots. You need JavaScript enabled to view it.) if you want to attend. I don't have to have your money up front to confirm your spot, but I do need your contact info. And your promise you'll give me your firstborn child if you fail to attend after promising to do so.

The following day, Saturday June 23, my assistant instructor Elliott and I, along with my son Luke, will be going to the DPMS "Outbreak Omega" zombie shoot down in Morristown. Any of y'all who want to join us are welcome, but their registration deadline is June 15, so you'd better get your poop in a group pronto if you want to shoot with us!


Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn

Well, I am enjoying my first Spring down here in West Texas, and I must say it's glorious!!! Not to rub you northern fellers' noses in it, but I do not miss the long, alternately dusty and damp, chilly months of March and April as they go in Wisconsin and/or Alberta!

But weather aside, we have other things to be pleased about here at TAS this month.

First thing: I had a great block of training up in Minnesota in March with the Special Operations Training Association of the Upper Midwest (SOTA). I had the opportunity to speak at their annual convention on March 4-6, then held a Shooting with Xray Vision for SWAT class at Hennepin Tech College on 3/7.

I had the opportunity to sit in on Johan Boden's ballistics class at the SOTA conference. Johan is an old friend of mine from IDPA, and he is also the guy at Federal/Speer who demo's their ammunition ballistics all over the world. He takes the high road in his classes, meaning he does not comment on ATK's competitors. He simply demo's the Federal/Speer ammo line, which is all that really needs to be done. I am not a ballistics expert, but I've hung out with a few over the years, and I know good ballistics when I see it... and I can say without a shred of hesitancy that if you want ammo that will perform at or  beyond the established FBI standards under any patrol or SWAT  conditions you can think of, Speer and Federal ammunition will fit the bill. I have carried Speer's GDHP handgun ammunition in all my carry/duty pistols and revolvers for years, and Johan's demo at SOTA last month confirmed my choice as a good one. I have also been a proponent of the Federal Tactical Bonded .223 round for years (either 55 gr or my preferred choice, the 62 gr) and Johan demonstrated the exemplary performance of this ammunition in bare gelatin, clothed gelatin, through windshield glass, and even through automobile sheet steel. If your agency is looking at a major ammo purchase and you haven't looked closely at Speer/Federal, I strongly recommend you get hold of Johan at ATK and get him on board for a demo.

Our SXRV class at Hennepin Co. was a very good class. As usual, the background, training, and ongoing mission of the partcipants drove much of the content of the course. This was a pretty switched-on group of guys, so we were able to cover some of the more advanced material I don't usually go through in many classes, including such topics as the anatomically-correct used of edged weapons. I have tended to stay away from discussion of edged weapons in my training, but I'm getting questions about knives and other edged weapons a lot more often lately. I'm not sure that we're seeing more use of such weapons in police encounters with felons, but awareness of them is certainly increasing.

I haven't written anything about edged weapons under the Tactical Anatomy masthead to date, but I'm wondering if I should do so. Please contact me through email if you have strong opinions one way or another!

BOOK NEWS:  Some folks are waiting for books, and for this I apologize. I am part-way through a rewrite of my Tactical Anatomy Instructor Manual, which will be released as the Second Edition some time this summer. I've listened to what people have had to say about the first edition of the book and tried to incorporate new material that reflects the questions and concerns I've heard about. I have greatly expanded the educational ("adult learning theory") theme I touched on in the Introduction of the first edition, making it a chapter in its own right. I have also added a lot of material to the Computer Simulator section, and have added a Live Fire Training section as well, all of which is drawn from real-life experience with police departments around the country that are training their cops in the Tactical Anatomy SXRV system.

The Second Edition will be released as an e-book, which means I will no longer be shipping each copy out of my home. I know those of you who have had to wait on orders when I've been too busy with medical and/or SWAT team priorities to tend properly to shipping will be pleased to hear that. (... and the crowd goes wild!...) My editor/publisher is working on an all-electronic option as well, so the book may be available for downloading to your Kindle or computer, if we can get it set up right.

I will keep y'all posted here on my website when the Second Edition becomes available.

Upcoming Training: I am working with my longtime friend and training partner in Minnesota, Elliot Gilchrist, to bring a Tactical Treatment of Gunshot Wounds class to the Twin Cities region in June 2012. We are looking at the end of the week of June 18 (so 6/21 or 6/22) for this class, and depending on demand, we may schedule a SXRV for Civilians class as well. Both classes will be open to LE and non-sworn personnel. If you are interested in attending either or both of these classes, let me know by email asap so I can plan for numbers. Tuition for TTGSW is $150.00, and all training materials are supplied. Students will need to bring a change of clothes (a pair of pants and a long-sleeved shirt you can destroy), sidearm, tactical rifle/shotgun, and a modest supply of ammo. And as in all Tactical Anatomy classes, remember to bring along your brain, 'cause you're we're gonna make you use it!!

Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn

Okay, folks. I'm back.

If you're bothering to read this, I assume you're viewing it as a welcome development!

I accomplished my move to Texas with about as little fuss and bother as one can manage, which is to say, it was a major Charlie Foxtrot much of the time. But I've found my inventory of books and t-shirts, burned some new CD's (sorry, haven't got the fancy CD labels printed yet but that should happen soon), and have shipped all outstanding orders. Those of you who have been waiting for your orders: I've included a small token of my appreciation in the form of discounts for further orders, and if you want a free TAS anatomy t-shirt, just drop me an email and I'll send you one by snailmail.

New members/users who have signed up since summer, please be patient and I'll get you approved as soon as I can. Unfortunately my security software for the website was defeated by some new spamming technology, so I have literally hundreds of bogus members-only applications. I read and print and file every member application personally, and often request additional documentation before approval. WIth all these bogus apps coming in, I'm really behind on membership approval. So please bear with me.

I will post here on my blog when I've got the backlog cleared up. Hopefully later this week.

Now, let me explain what I mean when I say "I'm back".

First, it means that I'm recanting my quasi-decision to withdraw Tactical Anatomy training and publications from the marketplace. A number of good people have encouraged me to keep going. That wouldn't be enough in and of itself, but I've found that my work load here in Texas is "light" enough that I can actually put time and energy into running TAS training and publications. My former position in Wisconsin consisted of being a fulltime ER doc, plus being the Medical Director of my ER, plus leadership involvement (meetings, meetings, and more meetings) with my employer. This hardly left any time for the things I enjoy, and zero energy to get up and do those things.

So I'm back in the training biz. The Minnesota state SWAT training organization, SOTA, is hosting a SXRV class for SWAT/Patrol in March 2012. We are going to be using some state of the art computer simulations at this class using the updaed MILO system I partner-purchased recently.  If you want to sign on for this program, contact SOTA board member Chris at This email address is being protected from spambots. You need JavaScript enabled to view it. for registration info. He tells me the SOTA website is having growing pains, so it's best to contact him directly.  I'm still waiting to nail down dates for a combined SXRV and TTGSW class in Nashville TN next spring, so watch here for dates and details on that.

My webmaster has promised to tutor me (AGAIN...) on how to post upcoming training on this website so y'all's can find out what's coming up.

I've been in contact with a couple of gun/cop magazines I've written for in the past, so you should be seeing my articles out in the mainstream press again soon. My intention is to link new articles to this website so members can read them here in the Members Only area without purchasing the magazines in question; and since sometimes editors take out some of the more graphic stuff I send them (photos and text), I'll be able to put up the full content for members here.

Finally, I am working on a 2nd Edition of my book, which will be updated with training drills I've co-developed with trainers around the country, as well as updated and expanded section on the utility and practical use of computer simulators for your training programs. Oh, and most of the photos will be updated as well. No, I couldn't get Kim Kardashian to pose for the t-shirt drawings sequence, but I did as well as I could to reduce the need for "eye bleach" in the next edition (no offense intended to great photo and modelling work done by Steve Sager and Mike Larney in the first edition, guys!)

Stay safe, amigos.

Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn

Too much time has passed since my last entry. Sorry about that.

For reasons I can't explain, there has been a significant upsurge in website activity and interest in Tactical Anatomy classes in the past few weeks. We're looking at classes in Wisconsin and Minnesota this winter, and there may be options opening up in Georgia and Texas as well. Keep an eye on this webpage for updates.

My summer has been exceedingly busy with preparations for my move to Texas. I have most of my goods in a storage container as I wait for my final release from my contract here in Wisconsin in September, and in the meantime am living out of a few boxes and suitcases, so book shipments were suspended for about a month while I searched for an eventually found my inventory in the back of the (exceedingly hot and stuffy) steel storage/shipping container. I am now able to ship books again, and I apologize to all who had to wait excessively long for their orders.

We also just completed the 11th annual Wisconsin IDPA championship match, which I am sad to say was my last as Area Coordinator. I am really proud of the fantastic job the IDPA guys and gals in the Badger State have done once again, and look forward to coming back as an out-of-state competitor in the future. When I return next August, I won't have been hampered by moving considerations and will actually be able to practice enough to not embarass myself in the final standings!

A second edition of my book is in the works. I will be updating all the photos, and I have rewritten and expanded several chapters of the book, including a much larger section on computer simulations in TAS training. Those of you who may have taken TAS training in the past year or so, particularly the Deadly Force Decisions class I team-teach with longtime training partner David Maglio, are aware of how much we have shifted the emphasis in TAS classes to incorporate this phenomenal instructional tool.  Having our own MILO system on had has made this technology much more practically useful, as I am no longer dependent on whatever equipment and software the host agency/tech college has on hand. And as it happens, the stronger relationship with IES (MILO's manufacturer) has led to a software development program in progress which is intended to develop a library of civilian/plainclothes CCW deadly force training scenarios for LEO and non-LEO training use. More on this development as we approach production. 

We also have acquired a full set of SIMUNITION gear for advanced training in TAS concepts using state-of-the-art force-on-force gear. It has taken some time to get our scenarios and training parameters up and running, but at this time I'm comfortable with taking this training out of the back room and into the display window, as it were. David Maglio (SIMUNITION-certified instructor) has been instrumental in getting this instructional program whipped into final form.

As always, I am wide open to hearing from persons interested in hosting Tactical Anatomy training classes in their area. Given our equipment acquisitions, we are no longer limited to law enforcement academy and police agency facilities for training. Call me and let me know if you want to host a class!


Share this post

Submit to DeliciousSubmit to DiggSubmit to FacebookSubmit to Google BookmarksSubmit to StumbleuponSubmit to TechnoratiSubmit to TwitterSubmit to LinkedIn
May  2017
  1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30 31      
Screen shot of Dr. Williams being interviewed by Police One TV