Heavy Lies the Helmet show

Heavy Lies the Helmet

Summary: Heavy Lies the Helmet, LLC is an education company comprised of industry leaders still actively working in the fields of pre-hospital critical care and search and rescue. Through an IA MED partnership, we are an accredited podcast and blog that openly discusses the world of resuscitation and aviation. We highlight caring for critically ill and injured patients in addition to the controversies surrounding their management. Though tailored to the transport environment, our information is applicable to any intrahospital discipline working in an emergency or intensive care setting. We utilize the most recent evidence to provide applicable and accurate education that can assist in improving individual clinical practice and overall program operations. We offer continuing education units to any listener and/or reader interested in obtaining credit for their progressive learning experience.

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  • Artist: Mike & Bryan Boone
  • Copyright: This podcast is available for private, non-commercial use only. Advertising which is incorporated into, placed in association with, or targeted toward the content of this podcast, without the express approval and knowledge of HLTH site developers, is for


 Episode 49 - Addressing SALAD w/Matt Jensen | File Type: audio/mpeg | Duration: 41:10

Suction-assisted laryngoscopy and airway decontamination (SALAD) was created to assist with the decontamination of a massively soiled airway. We sit down with flight nurse, researcher, and lead author Matt Jensen to discuss this technique and his most recent Air Medical Journal study aimed at investigating its usefulness in training prehospital emergency providers to improve their ability to intubate a contaminated airway.

 Episode 48 - Win Win w/Jason Peng & Ellen Parsley | File Type: audio/mpeg | Duration: 46:38

The Annual Sim Cup at AMTC is a prestigious event that gathers flight clinicians from all over the world to compete. Jason Peng (ED and Flight NP) and Ellen Parsley (Flight Nurse) of University of Cincinnati Air Care joined forces and took home the 1st place trophy at AMTC19. We use this opportunity to sit down with them and discuss their experience, the preparation leading up to their participation, and their approach to the various scenarios that ultimately lead to success.

 Episode 47 - Refrain and Restrain w/Nyssa Hattaway | File Type: audio/mpeg | Duration: 47:27

RSI, chemical restraint, or physical restraint? In this podcast episode, we are joined by ED and Flight Nurse Nyssa Hattaway at AMTC19 to discuss medical management and aircraft safety considerations surrounding the patient with acute agitation, excited delirium, and/or drug-induced psychosis. We also touch on Droperidol; an old drug that is finding its way back into the Pyxis and hearts of emergency providers everywhere.

 Episode 46 - The Stethoscope Replacement w/Cynthia Griffin | File Type: audio/mpeg | Duration: 50:45

Making her second debut on the podcast, Dr. Cynthia Griffin joins us at AMTC19 to discuss the utility of ultrasound/POCUS. Cynthia presented on this topic and highlighted its indication when following your XABC's (Hemorrhage, Airway, Breathing, Circulation) exam. Are you currently using ultrasound in your practice? If not, are you actively trying to convince your medical director to implement it? If so, you don't want to miss this episode!

 Episode 45 - 10 Things Your Intensivist Wants You to Know | File Type: audio/mpeg | Duration: 48:56

As an air medical provider, our bread and butter is interfacility transports. Whether at the referring or receiving facility, we deal with Intensivists on a regular basis. What are their expectations? How can we provide the best care for our ICU level patients while simultaneously pleasing the facility staff? Our resident nocturnal Intensivist, Dan Rauh, leads a discussion in this podcast episode regarding 10 random things that your Intensivist wants you to know when caring for their patients.

 G.E.A.R. 2020 Trailer | File Type: video/mp4 | Duration: 02:11

The title says it all. We hope you will join us. *Standby for more information regarding this unique opportunity to expand your knowledge.

 Episode 44 - Blood, Sweat, and GEAR (2019) | File Type: audio/mpeg | Duration: 01:16:26

In our final Guatemala Educational Aircrew Retreat (GEAR) 2019 podcast episode, we summarize the overall experience. What do Black Wolf Special Helicopter Operations, RED MED, and HeliSOS Servicios Medicos mean? Where do Chris Sharpe and Chris Gibson come from? What is their motivation behind this training? And how can you experience firsthand what we've been through? Through blood, sweat, and tears.

 Episode 43 - Surviving Culture, Part 2 (GEAR 2019) | File Type: audio/mpeg | Duration: 55:41

In this 2-part podcast episode, we are again joined by survival experts Chris “Gibbo” Gibson and Jimmy “Jungle” McSparron to discuss the concept of tacticool. This common expression is regularly featured on social media when individuals inquire about various gear options for one’s person. We discuss the dangerous mindset surrounding this toxic ideal, highlighting the importance of factual preparedness. If you’re new or old to the industry, this episode is our reply.

 Episode 42 - From Cockpit to Firepit (GEAR 2019) | File Type: audio/mpeg | Duration: 31:20

With kick off our Guatemala Educational Aircrew Retreat (GEAR 2019) series with an open forum. Located at Guatemala's aviation training center, we sat in a mock airplane, pulled out the lapel mics, and decided to discuss the broad topic of survival. The morning after our jungle excursion inspired a multitude of discussions ranging from fire to survival gear to everything in between.

 Episode 41 - Advanced Practice Makes Perfect w/Bill Hinckley (Part 2) | File Type: audio/mpeg | Duration: 47:13

In this podcast episode, we are joined by Dr. Bill Hinckley to discuss advanced practice models in HEMS. This second part focuses on the big picture. We talk about the Airline Disregulation Act (ADA), HEMS bureaucracy, over-saturation, and billing practices. We touch on the need for advanced practice models in our current climate and the importance of generally doing the right thing.

 Episode 40 - Advanced Practice Makes Perfect w/Bill Hinckley (Part 1) | File Type: audio/mpeg | Duration: 45:43

In this podcast episode, we are joined by Dr. Bill Hinckley to discuss advanced practice models in HEMS. This first part focuses primarily on Bill's experience as an EMS physician, flight physician, and medical director for UC Air Care and Mobile Care. We talk about the pitfalls and successes of advanced practice versus standard crew configurations. We touch on specific models involving nurse practitioners, resident-level physicians, and attending-level physicians.

 Episode 39 - Moulage Rouge w/Mike Abernethy | File Type: audio/mpeg | Duration: 44:12

In this podcast episode, we are joined by Flight Physician Mike Abernethy to discuss the importance of high fidelity, simulation training. We discuss common pitfalls of simulation learning , EMS education, and highlight tips and tricks for building successful moulage; the art of applying mock injuries for the purpose of training emergency response teams and other medical and military personnel. Also, Mike advocates for a specific trauma course that seems to be doing things right across the pond.

 Episode 38 - Breaking the Case: P.E. MERGENCY | File Type: audio/mpeg | Duration: 49:16

Armchair Air is at it again with this is the second installment of the "Breaking the Case" series where we discuss case studies related to previously covered topics. With that being said, this episode discusses three patient scenarios where pulmonary embolism plays a factor in their presentations. We discuss diagnostics and treatment methods based on the severity of each case. We also highlight the challenges surrounding the P.E. patient when resources are limited.

 Episode 37 - Prehospital Sepsis (Presentation) | File Type: audio/mpeg | Duration: 32:05

Earlier this year, we were asked to present at a local critical care conference. Due to the recent release of the 1-hour bundle, this was a timely discussion regarding pre-hospital sepsis. We touched on various definitions, diagnostics, treatments, and the ongoing controversy surrounding the Surviving Sepsis Campaign. Since we try to record most of our talks, we decided to share this particular presentation with you on the podcast. We hope you enjoy this format for a change of pace.

 Episode 36 - Induction Death Match | File Type: audio/mpeg | Duration: 43:02

What causes peri-intubation hypotension and death? Is positive pressure ventilation (PPV) or induction agents the primary contributing factor?  Tune in to this special podcast episode where our own Dan "Macho Man" Rauh and Bryan Boone "The Doom" debate this heated topic. (Refereed by yours truly, Mike Boone.) We detail various sympatholytics used for induction, thoracic pressure consequences of PPV, and our ultimate concerns regarding the Rapid Sequence Intubation (RSI) procedure.


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