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    Education

    Heavy Lies the Helmet

    The Heavy Lies the Helmet® Podcast is made by emergency and critical care professionals for clinicians working across the prehospital and hospital environments. Hosted by Mike Boone, Dan Rauh, and Dr. Amanda Humphries, the show takes an honest look at the clinical decisions, challenges, and experiences that come with caring for critically ill and injured patients.

    We work through complex cases, question assumptions, and explore the things that don’t always fit neatly into a protocol or textbook. From clinical practice and teamwork to operations, leadership, stress, and the weight that comes with the job, these conversations are grounded in the realities of high-acuity care.

    No fluff. No corporate talking points. Just honest conversations for clinicians doing difficult work.

    Advertise

    Copyright: © All rights reserved

    • Apple Podcasts
    • Google Play
    • Spotify

    Latest Episodes:
    Episode 131 - TXA: The Clot Thickens Jul 14, 2025
    Show notes

    Tranexamic Acid (TXA) is a lot like hot sauce: People put it on everything — especially for apparent or suspected acute blood loss. In this podcast episode, we dive into a drug that's been both praised and questioned in trauma and prehospital care. We break down what TXA is, how it works, and the evidence behind its use. From CRASH-2 to CRASH-3, we explore the key studies, the controversies, and the real-world implications. Whether you're administering TXA in the back of a rig or evaluating its role in your protocols, this episode helps you make sense of when, why, and how TXA might—or might not—stop the bleeding.

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


    Episode 130 - Opinion-Based Medicine w/Mike Carunchio Jun 13, 2025
    Show notes

    Though evidence dictates much of what we do as emergency medical providers, some areas remain open to debate: How are we justifying stroke ambulances, CCT speciality teams, AHA guidelines, and our choice of crystalloids? How are we justifying what professionals are allowed to post on social media? And do we agree with the currently accepted norms?

    Who better to join us in this discussion than Mike Carunchio of The World's Okayest Medic Podcast. Diving into these and other controversial topics, we see if our two platforms can come to a consensus in a randomized, uncontrolled conversation.

    *Strong opinions were involved in this production. If something challenges your perspective, good—that's the point.

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


    Episode 129 - Little Lung Problems w/Nate Brown May 20, 2025
    Show notes

    Wet or dry. Air in or out. Reactive or obstructive. The possibilities may seem endless when treating the pediatric patient with undifferentiated respiratory distress. It is confounded by the fact that pediatrics are outside the comfort zone of many novice critical care transport providers. In this podcast episode, neonatal/pediatric specialist Nate Brown eases your worries with concise and effective means of diagnostics and intervention. Primarily, we cover croup, bronchiolitis, and asthma disease processes.

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


    Episode 128 - Keeping Trauma Close to the Chest Apr 09, 2025
    Show notes

    'Tis the season for trauma. (If there truly is a season.) Chest trauma, specifically, can vary in subtlety and severity, primarily due to the presence of multiple vital organs and vessels. In this podcast, we discuss these potentials while focusing on those injuries that are associated with the highest mortality rate. We also discuss why you should think twice before intervening.

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


    Episode 127 - P.R.E.S. Sure Feb 24, 2025
    Show notes

    Does your patient have high blood pressure? Are they seizing or showing other signs of a neurological disorder? It could be PRES! Unfortunately, Posterior Reversible Encephalopathy Syndrome (PRES) is difficult to diagnose unless you are aware of its existence. In this podcast episode, we discuss this infrequent condition and how can you appropriately diagnose and treat it.

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


    Episode 126 - Certification Versus Qualification Jan 23, 2025
    Show notes

    Do certifications accurately reflect an individual's qualifications? This is an ongoing argument depending on what side of the exam you are on. How much value should we on that piece of paper? And, regardless, how do we work towards obtaining and maintaining qualifications? In this podcast episode, we discuss it all including Dunning-Kruger Effect and Hierachy of Competence. We also delve into teaching strategies that can help newcomers gain their confidence after achieving whatever got them there in the first place.

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


    Episode 125 - Breaking the Case: The Point of Ultrasound Dec 24, 2024
    Show notes

    Previously, we recorded a podcast episode about the utility surrounding Point of Care Ultrasound (POCUS). In this episode, we apply that knowledge to specific case scenarios as a continuation of our "Breaking the Case" series. We also ask the question, is POCUS really all it's cracked up to be, or should we be re-thinking our approach, particularly in the prehospital setting?

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


    Episode 124 - Canine Care w/George Tarver III Nov 18, 2024
    Show notes

    Humans are easy. That's why we are able to do what we do as prehospital providers. But what happens when your patient is a canine? These working dogs are highly regarded by their handlers and require care just like anyone else that may be ill or injured. Considering that, are you equipped to care for them? If not, how can you successfully start and maintain a K9 program at your agency?

    Tune in to another podcast to discuss this unique topic, but this time, we are joined by HLTH team member Rick Maricle and his colleague George Tarver III.

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


    Episode 123 - To Treat or Not to Treat: Hypertension Oct 21, 2024
    Show notes

    It can be difficult to determine whether you should treat undifferentiated hypertension or not. Many clinicians are distracted the number rather than focusing on the patient in front of them. Asymptomatic hypertension, in particular, is often benign. In fact, treating asymptomatic hypertension in a patient who a primary medical history of hypertension can harm them.

    In this podcast, we discuss these adverse effects related to blood pressure physiology, acute versus chronic hypertension, and how you can determine whether anti-hypertensives or other forms of therapy are indicated.

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


    Episode 122 - Stay Positive When Preoxygenating (PREOXI Trial) Sep 30, 2024
    Show notes

    The principles of preoxygenation and passive oxygenation should be familiar to any experienced intubator. Best practice recommends the use of a nasal cannula in conjunction with either a non-rebreather mask or bag-valve mask (BVM) to prevent hypoxemia during the apneic phase of Rapid Sequence Intubation (RSI).

    In the PREOXI Trial, the authors pushed this concept further, questioning whether non-invasive positive pressure ventilation (NIPPV) might be more effective than these formally mentioned adjuncts. In this podcast, we dive into the strengths and weaknesses of the trial and explore whether its findings are truly practice-changing. We might even disagree along the way…

    (We also provide a rebuttal to some of the feedback we received on our previous podcast episode.)

    Get CE hours for our podcast episodes HERE!

    --------------------------------------------

    Twitter @heavyhelmet

    Facebook @heavyliesthehelmet

    Instagram @heavyliesthehelmet

    Website heavyliesthehelmet.com

    Email contact@heavyliesthehelmet.com

    Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment.

    --------------------------------------------

    Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com


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