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 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.

 Episode 30 - Breaking the Case: Nephro No! | File Type: audio/mpeg | Duration: 49:34

We are introducing a new podcast series that focuses purely on case studies. In this episode, Dan helps us analyze three examples of nephrology emergencies that we might encounter as emergency providers. They are reviewed sequentially based on level of complexity. Please let us know, if you enjoyed this new format, or how we can make it better for future episodes. For a PowerPoint copy of the case studies including lab values, go to the episode's web page.

 Episode 29 - Blocker? Near Killed Her! (Featuring Dan Rusyniak) | File Type: audio/mpeg | Duration: 44:36

Though similar presentations, beta blocker (BB) and calcium channel blocker (CCB) overdoses can affect your patients in very different ways. In this episode, we are joined by Dr. Dan Rusyniak (Toxicologist) of the Dantastic Mr. Tox & Howard Show and The Tox & The Hound (EMCrit). Tune in as we discuss BB toxicity, CCB toxicity, and a differential you can perform to treat your patients effectively.

 Trailer | File Type: video/mp4 | Duration: 28

This is a trailer we created for fun to promote the website on iTunes and other trailer compatible podcast platforms. Enjoy!

 Episode 28 - AKI: Just Kidneying Around | File Type: audio/mpeg | Duration: 29:27

Acute Kidney Injury (AKI), formally Acute Renal Failure (ARF), is a prevalent disease process that affects over 50% of ICU admissions. AKI is not only caused by a variety of etiologies, but it can be hard to clearly define depending on your diagnostic capabilities. Tune in to this next podcast episode where we are joined by Dan "Analogy King" Rauh for a general discussion of AKI. We touch on FENa versus BUN/Cr ratio, SvO2, and when they matter.

 Episode 27 - Podcast Row w/Eric Bauer & Mike Verkest (AMTC18) | File Type: audio/mpeg | Duration: 26:29

We wrap up AMTC18 in style with our exhibit hall neighbors and fellow podcasters Eric Bauer & Mike Verkest of FlightBridgeEDand SecondShift. Tune in as we discuss Podcast Row, FOAMed, and tips for new and old podcasters alike. We also touch on the history of HLTH, and how it all got started.

 Episode 26 - Hard Headed w/Carlos Andino (AMTC18) | File Type: audio/mpeg | Duration: 20:02

Protect your head! In this next AMTC18 Podcast Row episode, we are joined at our booth by Carlos Andino, Market Development Director at Paraclete Aviation Life Support. Tune in as we continue our discussion of helmet safety with an industry expert. We touch on commonly used materials, defining Military Standard (MIL-SPEC), Department of Defense (DoD) versus civilian testing, and other safety expectations that should be met...and aren't being met.

 Short Final - Sunset Eyes (AMTC18) | File Type: audio/mpeg | Duration: 06:00

Live from Podcast Row, we continue our AMTC18 series with a brief, “Short Final”. It is no secret that signs and other physical phenomenon are numerous. Sometimes, it is difficult to remember all of these when performing our head-to-toe assessments. In this episode, we take the time to consider one sign in particular; a sign especially common in the pediatric population. Tune in as we discuss sunset eyes phenomenon, when it’s benign, and when it matters.

 Episode 25 - Hole in One w/Cynthia Griffin (AMTC18) | File Type: audio/mpeg | Duration: 41:33

Kicking off our AMTC18 series, we are joined at our Podcast Row booth by the beloved Dr. Cynthia Griffin. Cynthia is an Emergency and Flight Physician for University of Wisconsin, and a member of the FOAMfrat team. Tune in as we discuss the challenges of flight medicine, finger thoracostomy, and front-of-neck access.

 Episode 24 - ECHONOOGA Debrief w/Brad Garmon | File Type: audio/mpeg | Duration: 01:08:04

In this informal podcast episode, we are joined by Brad Garmon; Flight Medic, Educator, and overall good dude. Brad was our fellow "Sick Lung" clinical category presenter at the 2018 Every Coast Helicopter Operations (ECHO) annual conference. After the last day, we decided to grab dinner, a few beers, and chit chat about our overall impression of the conference. We touch on our individual presentations with an occasional tangent to finish up a weekend full of education, networking, and fish.

 Episode 23 - Triple Threat w/Dan Rauh (ECHONOOGA) | File Type: audio/mpeg | Duration: 31:39

In this special podcast episode, we are joined by a third person: Flight NP and PT Intensivist, Dan Rauh. Dan joins us at the 2018 Every Coast Helicopter Operations (ECHO) annual conference as a fellow clinical track speaker and critical care panel participant. Tune in as we discuss three, in-depth topics including Nurse Practitioner autonomy, advanced acid/base interpretation, and coagulopathy reversal.

 Episode 22 - The Dark Side of Electrolytes (Part 5: Magnesium) | File Type: audio/mpeg | Duration: 16:13

Magnesium is a co-factor in more than 300 enzyme systems that are responsible for biochemical reactions in the body. This includes protein synthesis, muscle/nerve function, blood glucose control, and blood pressure regulation. In this podcast episode, we continue our popular electrolyte series by discussing this important electrolyte. As usual, we touch on hyper and hypo states, supplementation, and other reasons to administer magnesium sulfate aside from hypomagnesemia replacement.


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