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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Podcasts:

 Episode 16b - Taping the Pediatric Airway (Video) | File Type: video/x-mp4 | Duration: 03:46

This is the video that accompanies Episode 16. Watch as we demonstrate how to safely and effectively tape a pediatric endotracheal tube.

 Episode 16 - Your Roll in Securing the Pediatric Airway | File Type: audio/mpeg | Duration: 16:12

In this episode, we discuss the logistics of securing pediatric endotracheal tubes and its relation to the pre-hospital environment. Tune in as we touch on the pro's and con's of commercial devices versus adhesive tape. We also provide a step-by-step tutorial on how to safely and effectively secure an ETT that is 4.5mm or smaller in diameter.

 Episode 15 - Pick a Valve, Any Valve: Multivalvular Disease | File Type: audio/mpeg | Duration: 28:28

In this episode, we discuss Multivalvular Disease. Multivalvular Disease is a fluid and complex disease process that requires expert evaluation on the part of the emergency and/or critical care clinician. Tune in as we review the cardiac cycle, systolic and diastolic heart failure, single valve dysfunction, and Multivalvular Disease’s various manifestations depending on the combination of valve lesions that your patient may present with.

 Episode 14b - The Nasal Cannula Debate (Video) | File Type: video/x-mp4 | Duration: 03:59

This is the video that accompanies Episode 14. Watch as Tyler Christifulli of FOAMfrat and FlightBridgeEd tests how 3 popular nasal cannula devices perform during apneic oxygenation.

 Episode 14 - Not All Cannulas Are Created Equal w/Tyler Christifulli | File Type: audio/mpeg | Duration: 19:48

In this episode, we are joined by Tyler Christifulli of the FOAMfrat blog and podcast (formally Lifestar Podcast), and FlightBridgeEd. Tune in as we briefly discuss the physiological process of apneic oxygenation, and the equipment you should and should not be using for supplementation.

 Episode 13 - Serotonin Syndrome: When Medications Go Wrong | File Type: audio/mpeg | Duration: 22:45

In this episode, we discuss Serotonin Syndrome: a dangerous condition precipitated by the combined use of these commonly administered serotonergic drugs.  Tune in as we discuss various drug combinations, the mechanism driving the resulting signs/symptoms, and the treatment course we should take to reverse these adverse effects.

 Episode 12 - The Dark Side of Electrolytes (Part 4: Calcium) | File Type: audio/mpeg | Duration: 23:56

In this episode, we continue our electrolyte series by focusing on one of the most abundant minerals in our body: calcium. Tune in as we discuss total calcium and its affects on our critically ill patients; primarily focusing on the measurement of ionized calcium (iCa) levels, and the appropriate treatments of both hypo and hyper states.

 Episode 11 - Gearing Up for Transport w/Todd Hope | File Type: audio/mpeg | Duration: 26:28

Are you new to transport medicine and are looking for your first set of personal gear? Or, are you a seasoned critical care transport provider looking to change your current setup and upgrade to a more quality system? Or, are you a member of leadership at a HEMS program that is looking to change the equipment currently being assigned to your staff members? If so, this is the podcast for you. In this episode, we discuss specific gear options with a seasoned Flight Medic and gear guru, Todd Hope.

 Episode 10 - AMTC 17 Debrief (Day 3) | File Type: audio/mpeg | Duration: 36:59

In this episode, we continue our discussion of AMTC 17. Tune in as we touch on key points from the AMTC talks that we attended that will provide you with several clinical pearls that may apply to your practice. Due to the large amount of discussion, this podcast is split into 3 episodes; 1 for each day of the conference. This is the 3rd and final day.

 Episode 9 - AMTC 17 Debrief (Day 2) | File Type: audio/mpeg | Duration: 19:55

In this episode, we continue our discussion of AMTC 17. Tune in as we touch on key points from the AMTC talks that we personally attended. Due to the large amount of discussion, this podcast is split into 3 episodes; 1 for each day of the conference. This is day 2. 

 Episode 8 - AMTC 17 Debrief (Day 1) | File Type: audio/mpeg | Duration: 27:06

Were you unable to attend AMTC?  If you were, were you able to attend every talk that you wanted to?  Or, are you wondering if you missed a key point during a talk that you were able to attend?  Tune in as we discuss key points from the AMTC talks that we personally attended in addition to our overall impression of the conference.  Due to the large amount of discussion, we are splitting this particular podcast into 3 episodes; 1 for each day of the conference.  In this particular episode, we discuss da

 Episode 7 - The Dark Side of Electrolytes (Part 3: Potassium) | File Type: audio/mpeg | Duration: 20:41

In this episode, we continue our electrolyte series by discussing one of the most infamous electrolytes: potassium.  Tune in as we cover hypo and hyper states, including their effects on our bodies' electrophysiology.  We also provide an acronym that we created to help you memorize the causes of hyperkalemia, specifically.

 Episode 6 - Coagulate or Bust: DIC | File Type: audio/mpeg | Duration: 14:58

In this episode, we discuss one of the most dangerous secondary complications seen in the critically ill:  Disseminated Intravascular Coagulation (DIC).  Tune in as we cover the clotting cascade and how opposing treatment regimens may be indicated for your patients depending on the stage of the disease's progression.

 Short Final - Should Nurses Intubate? | File Type: audio/mpeg | Duration: 11:21

This is the next installment of our "Short Final" series.  In this particular episode, we discuss a controversial topic regarding nurses' qualification to intubate in the pre-hospital environment.  We also discuss maintaining competency for all disciplines, and whether your program's minimum requirements are enough to remain proficient.

 Episode 5 - The Dark Side of Electrolytes (Part 2: Sodium) | File Type: audio/mpeg | Duration: 20:49

In Part 1, we discussed chloride and touched on its close relationship with sodium.  In this episode, we continue our multi-part series focusing specifically on sodium.  Tune in as we discuss one of the highest regarded electrolytes, and how our treatment regimen can improve or worsen our patients' conditions.  We also recommend a specific phone app to assist your resuscitation.

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