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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
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    Latest Episodes:
    Episode 121 - Outside the Box: Cardiac Arrest Management Aug 22, 2024
    Show notes

    Not all cardiac arrests are created equal. Whether the presenting rhythm is asystole, ventricular fibrillation, or PEA, these patients require tailored interventions beyond "blanket" protocol and ACLS/PALS algorithms. When refractory to conventional therapy, the pulseless V-Tach/V-Fib patient, in particular, requires critical thinking "outside the box" in order to gain ROSC (Return of Spontaneous Circulation) and preserve neurological outcomes. What are some of the measures we can consider when presented with these refractory patients? We answer that question in this 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


    Episode 120 - Sorry, We Are Closed: Interfacility Transfers w/Austin Wingate Jun 29, 2024
    Show notes

    Interfacility transfers are not always indicated at the time and place of which they are being requested. Whether it's referring provider misinformation or a lack of advocacy by the transport agency, these transfers can result in unnecessary risk for crew members and patients. Specifically, weather conditions, time of day, crew fatigue, and other important factors are not always considered when blindly accepting these transfers. As the transport specialists, how can we ensure that we are accepting and performing these transports safely?

    In this episode, Austin Wingate provides a holistic method that you, too, can integrate into your own region.

    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 119 - Losses and Gains: Antidiuretic Hormone May 06, 2024
    Show notes

    Antidiuretic hormone (ADH) plays an essential part in the body's osmotic/fluid balance, sodium homeostasis, and blood pressure regulation. This hormone is synthesized in the hypothalamus and released from the posterior pituitary gland. In conditions such as Diabetes Insipidus (DI) and Syndrome of Inappropriate ADH (SIADH), there is a lack of synthesis or over-production of this hormone which results in negative downstream effects.

    At the request of a podcast listener, we have decided to cover these conditions in this episode. Tune in as we discuss DI (central and nephrogenic), SIADH, and hypo/hypernatremia.

    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 118 - Trigger Warning: Angioedema Mar 25, 2024
    Show notes

    Angioedema is defined by upper airway swelling secondary to an immune response. The trigger and subsequent physiological response are how we categorize it. In this podcast, we discuss how to diagnose and treat both types: IgE/Histamine-mediated and Bradykinin-mediated. We also touch on how to address the difficult airway that may or may not lead to intubation. All in all, do not fear angioedema but respect 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 117 - Dye or Die: Methylene Blue w/Will Heuser Feb 28, 2024
    Show notes

    When discussing methylene blue, management and treatment of methaemoglobinaemia is usually the first indication mentioned. But in this podcast, we challenge you to increase the size of your lense and focus on its benefits in other states (e.g., septic shock). Of course, we could not do this alone, so we invited a Flight Paramedic, Pharmacist, Toxicologist, and Professor to join us. And fortunately for us, they are all the same person.

    Tune in as Will Heuser helps us discuss the pathophysiology of distributive shock, the pharmacodynamics and pharmacokinetics of methylene blue related to its effects on endothelial relaxation, and how this simple dye goes beyond that of salvage therapy when a patient has high vasopressor requirements.

    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 116 - Around the World: HEMS in México w/Daniel Peñaflor Jan 27, 2024
    Show notes

    Though we have delved into foreign HEMS systems in the past (See Episode 61 – Down Under Dynamics w/Dr. Cliff Reid), we have not dedicated an entire series to it. Having now rubbed shoulders with many clinicians and operators around the world, it is evident that these conversations need to take place on a regular basis. Why? Because operating in a vacuum can lead to bad decision making. Our new "Around the World" series attempts to mitigate this by interviewing prehospital and intrahospital disciplines from around the world and finding out how they do things, whether for better or for worse when compared to the United States.

    We begin our series with our neighbors to the south, Mexico. Daniel Peñaflor, Flight Paramedic, joins us to discuss prehospital operations in Guanajuato City. Interestingly enough, you will find out that they are not too dissimilar from us.

    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 115 - Me, My Self-Loading Baggage, and I w/Miles Dunagan and Brett Reeder Dec 20, 2023
    Show notes

    "Self-loading baggage" is a derogatory term often used by pilots to describe lazy or disengaged medical crew members in the air medical industry. Whether intentional or not, this behavior sets a bad precedent for those of us that want to embrace aviation cross-training and be able to assist the pilot effectively.

    In this podcast episode, we are joined by pilots Miles Dunagan and Brett Reeder to discuss how pilots and clinicians alike can be a cohesive team before, during, and after the flight. We touch on complacency, Crew Resource Management (CRM), and specific skills required of an effective air crew.

    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 114 - You Train Ukraine w/Kevin Collopy and Brock Jenkins Nov 30, 2023
    Show notes

    The Russo-Ukrainian War is an ongoing international conflict between Russia and Ukraine. At times such as these, medical training is essential and sometimes required of laypersons. International Medical Corps partnered with the Harvard Humanitarian Initiative (HHI) to provide comprehensive emergency and trauma care training to healthcare workers, public safety professionals, and the Ukrainian community. Course Coordinator Kevin Collopy and Instructor Brock Jenkins, live from AMTC23, join us for an eye-opening podcast episode where we discuss their role in this mission and the personal experiences motivating them to continue their efforts.

    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 113 - Being B.R.A.S.H. When Treating Bradycardia w/Dr. Kate Connelly and Jake Miller Nov 15, 2023
    Show notes

    B.R.A.S.H. Syndrome is a phenomenon with a constellation of Bradycardia, Renal failure, AV nodal blockade, Shock, and Hyperkalemia requiring identification and management in the prehospital and transport setting. In this podcast episode, live from AMTC23, we discuss the pathophysiology of BRASH Syndrome, highlighting the synergy between its components, as well as relevant pharmacotherapy and treatment considerations.

    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 112 – Acid Base Trifecta (Presentation) Oct 31, 2023
    Show notes

    Dan presented the talk "Metabolic Acidosis: The Eye Can Only See What the Mind Can Comprehend" at AMTC23. In this recording, he teaches you how to identify the prevalence of acid-base disorders including triple disturbances, how to calculate anion gap and determine the etiology of the gap, and how to identify adequacy of compensation for a primary metabolic acidosis.

    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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