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


 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.

 Episode 35 - Provider Zero w/Shane Turner (CAMP ECHO) | File Type: audio/mpeg | Duration: 44:24

How do you become an asset rather than a lability at work? In this podcast episode, we are joined by multi-keynote speaker Shane Turner to discuss the difference between an employee and a professional. We highlight topics such as work ethic and personal drive. We also bring out how to stay engaged, using past mistakes as present motivators, and how to fight negativity at the base level. We also give tips on how to bring up uncomfortable topics to infect others with positive change as 'provider zero'.

 Episode 34 - The REBOA Constrictor w/Liam Madigan | File Type: audio/mpeg | Duration: 47:31

The Endovascular Balloon Occlusion of the Aorta (REBOA) of 2015 is drastically different than the REBOA of 2019. In order to understand new techniques such as 'partial REBOA', expert Liam Madigan joins us all the way from Scotland to discuss procedure indications, complications, and clarifications regarding recent studies. We touch on his progress with an upcoming United Kingdom RCT versus the recent retrospective analysis performed in the United States.

 Episode 33 - P.E. MERGENCY | File Type: audio/mpeg | Duration: 48:04

In this podcast episode, we discuss massive, sub-massive, and non-massive pulmonary embolism. This common diagnosis is often misunderstood and mismanaged. To remedy that, we highlight categories of severity, pregnancy-related complications, effective and ineffective diagnostic tools, and definitive treatment options you should and should not consider.

 Episode 32 - Nacho Everyday Perforation w/Brian King | File Type: audio/mpeg | Duration: 28:30

Based on personal experience, Flight Paramedic and Educator Brian King joins us in this podcast episode to discuss esophageal peforation, the various causes, signs/symptoms, and treatment based on our care environment.

 Episode 31 - The I in Team Safety | File Type: audio/mpeg | Duration: 43:59

Especially with recent events, safety is at the forefront of every flight clinician’s mind. How do we work together to make sure everyone goes home after every shift? Chris, our resident safety expert, joins us in a special podcast episode where we discuss a team approach to flight safety in addition to other timely concepts we should consider before, during, and after every transport.


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