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

Podcasts:

 Episode 62 - Fast Rhythms, Furious Management w/Salim Rezaie (Bonus Feature) | File Type: audio/mpeg | Duration: 01:17:54

Everyone carries a card that says they know how to manage tachydysrhythmias. But what happens when your interventions don’t work? In this podcast episode, we focus on recent evidence suggesting alternate means of management when the patient remains refractory to conventional therapy. Though controversial, we will NOT be spewing ACLS algorithms. It’s time to live your life a quarter of a milligram at a time.

 Episode 61 - Down Under Dynamics w/Cliff Reid | File Type: audio/mpeg | Duration: 01:04:46

Whether it's in regard to scope of practice, clinical judgment, or professional communication, transport is a very dynamic environment. We had the privilege of welcoming the infamous Dr. Cliff Reid to the show to discuss his and Sydney HEMS' approach to all of these areas. Tune in and learn how to be a high level transport provider from one of the best in our industry.

 Episode 60 - Save Your Life w/Randy Mains (Part 2) | File Type: audio/mpeg | Duration: 42:46

What is the opposite of complacency? And how do you know if you are? In this podcast episode, we are joined by Randy Mains, pilot and safety expert, to discuss all things Crew Resource Management (CRM) and the human factors that kill our colleagues. We also discuss how you can arm yourself with the knowledge to make good decisions, break a link in the chain, and ultimately save your life. The discussion was so in-depth, that we decided to separate it into two parts. This is Part 2.

 Episode 59 - Save Your Life w/Randy Mains (Part 1) | File Type: audio/mpeg | Duration: 47:05

What is complacency? And how do you know if you are? In this podcast episode, we are joined by Randy Mains, pilot and safety expert, to discuss all things Crew Resource Management (CRM) and the human factors that kill our colleagues. We also discuss how you can arm yourself with the knowledge to make good decisions, break a link in the chain, and ultimately save your life. The discussion was so in-depth, that we decided to separate it into two parts. This is Part 1.

 Episode 58 - Going With the Flow (Presentation) | File Type: video/mp4 | Duration: 21:31

High flow nasal cannula is an increasingly popular modality for Acute Respiratory Distress and Failure. Previously, we saw it used mostly in the pediatric population. But as time has went on, especially with the COVID-19 outbreak, this has become an effective means of O2 delivery in all patient groups. With its increased frequency of use, it is only natural that we as transport providers will adopt this therapy. Tune in to Mike's ICON 2020 presentation regarding this topic.

 Episode 57 - Weight and Calculate w/Lynn Lamkin | File Type: audio/mpeg | Duration: 51:10

How do you calculate your drug dosages? What do you base it on? In this podcast episode, we are joined by Lynn Lamkin, EM pharmacist, to discuss weight based versus non-weight based drug dosages. We also breakdown when true body weight (TBW), ideal body weight (IBW), lean body weight (LBW) or adjusted body weight (ABW) is a more appropriate option.

 Episode 56 - Where There's Smoke, There's Injury w/Chris Stevenson & Michael Feldman | File Type: audio/mpeg | Duration: 42:00

You asked. We answered. In a follow-up to our burn resuscitation podcast episode, we are joined by Chris Stevenson and his burn center Medical Director, Dr. Mike Feldman, to discuss inhalation injuries. Tune in as we discuss the mechanism surrounding inhalation injuries and how to treat them affectively based on anatomical location and poison type.

 Episode 55 - The Art of Titration (Vasopressors) | File Type: audio/mpeg | Duration: 54:36

Titrating intravenous drips is a source of contention for many providers. This is, in part, due to a wide range of approaches depending on the patient's condition. But what does the literature say regarding this topic? In this podcast episode, we are joined by our CMO and After the Call host, Jordan White, to discuss appropriate titration of vasopressors, inotropes, and chronotropes from a first-line perspective.

 Episode 54 - A World Upside Down: Transporting Prone (Presentation) | File Type: video/x-mp4 | Duration: 21:32

With the rising number of COVID-19 patients, many of our listeners have requested additional information regarding transporting patients in the prone position. Despite refractory hypoxemia, many of these patients are benefiting from the prone position. Based on Episode 17 of the podcast, we updated our information in presentation-form. The following is a live recording of our talk being given at AMTC19.

 Episode 53 - From Beginning to End-Tidal (Presentation) | File Type: audio/mpeg | Duration: 33:00

Recently, Bryan was asked to present at a local EMS conference. The majority of the audience was ground personnel and student nurses, so he decided to present the why and how of measuring waveform capnography. EtCO2 truly should be the 5th vital sign, so we hope you appreciate this recording.

 Episode 52 - Ins and Outs of Influenza | File Type: audio/mpeg | Duration: 50:19

Due to a recent outbreak, influenza and COVID-19 have been in the forefront of people's minds. Influenza, in particular, continues to affect all age groups despite it being late in the typical season. In this podcast episode, we discuss the entire course of this disease process; from positive nasopharyngeal swab to downstream ARDS and the complex ventilator management associated with refractory hypoxemia.

 Episode 51 - Interrogating a Pulmonologist (Featuring Deep Sharma) | File Type: audio/mpeg | Duration: 50:04

In this podcast episode, we are joined by Dr. Deep Sharma, Interventional Pulmonologist, to answer listener questions in a rapid fire format. We cover everything from modes of ventilation to respiratory decompensation to snorting sugar dust. You asked. He answers.

 Episode 50 - Crash & Burn Resuscitation w/Chris Stevenson | File Type: audio/mpeg | Duration: 01:00:52

Proper fluid management in burns is critical to survival. But what happens when we administer too little or too much fluid therapy? In this podcast episode, we are joined by Chris Stevenson to discuss epidemiology and appropriate resuscitation for the prehospital provider. Our discussion includes an assessment of past and current formularies and what you should be using.

 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.

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