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PODCAST

Heavy Lies the Helmet

Mike Boone, Dan Rauh, & Dr. Amanda Humphries

The Heavy Lies the Helmet® Podcast is by critical care professionals, for critical care professionals. Hosted by Mike Boone, Dan Rauh, and Dr. Amanda Humphries, we dive deep into the realities of emergency and critical care medicine. Our conversations are raw, honest, and practical — cutting through the noise to focus on real-world challenges, clinical decision-making, and the human side of high-acuity care. Whether we"re unpacking complex patient scenarios, discussing the nuances of teamwork and

health & fitness medicine

All Episodes

43:02

Episode 36 - Induction Death Match

Heavy Lies the Helmet ·

2019/05/14

Ladies and gentlemen, welcome to the main event. This long awaited, highly anticipated match-up is finally here. Dan received feedback, after giving a recent talk, that we wanted to address in a fun way. 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,

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44:24

Episode 35 - Provider Zero w/Shane Turner (CAMP ECHO)

Heavy Lies the Helmet ·

2019/04/30

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

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47:31

Episode 34 - The REBOA Constrictor w/Liam Madigan

Heavy Lies the Helmet ·

2019/04/16

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

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48:04

Episode 33 - P.E. MERGENCY

Heavy Lies the Helmet ·

2019/03/30

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. ------------------------------------------------ Follow us on Twitter @HLTHPodcast Follow us on Facebook @heavyliesthehelmet Visit our website at

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28:30

Episode 32 - Nacho Everyday Perforation w/Brian King

Heavy Lies the Helmet ·

2019/03/13

Esophageal perforation/rupture is a rare, but life-threatening condition that requires immediate intervention. Late identification can result in pneumothorax, pneumomediastinum, subcutaneous emphysema, Sepsis, Acute Respiratory Distress Syndrome (ARDS), and ultimately multiple organ failure (MOF) and death. Based on personal experience, Flight Paramedic and Educator Brian King joins us in a discussion regarding the various causes, signs/symptoms, and treatment based on our care environment. We also

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43:59

Episode 31 - The I in Team Safety

Heavy Lies the Helmet ·

2019/02/17

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. ------------------------------------------------ Follow us on Twitter @HLTHPodcast Follow us on Facebook

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49:34

Episode 30 - Breaking the Case: Nephro No!

Heavy Lies the Helmet ·

2019/01/26

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. Also, listen until the very end for a

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44:36

Episode 29 - Blocker? Near Killed Her! (Featuring Dan...

Heavy Lies the Helmet ·

2018/12/30

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. ------------------------------------------------ Follow us on Twitter @HLTHPodcast Follow us on

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0:28

Trailer

Heavy Lies the Helmet ·

2018/12/18

This is a trailer we created for fun to promote the website on iTunes and other trailer compatible podcast platforms. Enjoy! ------------------------------------------------ Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet YouTube /heavyliesthehelmet Website heavyliesthehelmet.com Email heavyliesthehelmet@gmail.com Disclaimer: The views, information, or opinions expressed during the Heavy Lies the Helmet, LLC podcast are solely those of the individuals involved and do

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29:27

Episode 28 - AKI: Just Kidneying Around

Heavy Lies the Helmet ·

2018/12/10

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 fractional excretion of sodium (FENa) versus BUN/Creatinine ratio, mixed venous oxygenation saturation

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26:29

Episode 27 - Podcast Row w/Eric Bauer & Mike Verkest...

Heavy Lies the Helmet ·

2018/11/15

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. ------------------------------------------------ Follow us on Twitter @HLTHPodcast Follow us on Facebook @heavyliesthehelmet Visit our website at heavyliesthehelmet.com Contact us

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20:02

Episode 26 - Hard Headed w/Carlos Andino (AMTC18)

Heavy Lies the Helmet ·

2018/11/06

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. For additional information on this topic, reference

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06:00

Short Final - Sunset Eyes (AMTC18)

Heavy Lies the Helmet ·

2018/10/30

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. We also touch on Parinaud's Syndrome and its

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41:33

Episode 25 - Hole in One w/Cynthia Griffin (AMTC18)

Heavy Lies the Helmet ·

2018/10/26

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. After many pleasantries, we begin our discussion with the challenges surrounding flight medicine, the rarity of available positions, and team dynamics when a doctor is present on the transport team. We quickly transition to finger thoracostomy; a clinical topic and passion project for

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01:08:04

Episode 24 - ECHONOOGA Debrief w/Brad Garmon

Heavy Lies the Helmet ·

2018/09/24

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.

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31:39

Episode 23 - Triple Threat w/Dan Rauh (ECHONOOGA)

Heavy Lies the Helmet ·

2018/09/16

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. Dan also provides an easy way to calculate triple acid/base disorders including anion gap and

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16:13

Episode 22 - The Dark Side of Electrolytes (Part 5:...

Heavy Lies the Helmet ·

2018/08/14

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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01:09

Episode 21b - Introducing the OG Tube (Video)

Heavy Lies the Helmet ·

2018/07/20

This is the video that accompanies Episode 21 where we demonstrate how to introduce an OG tube when inserting by conventional methods is difficult. ------------------------------------------------ Follow us on Twitter @HLTHPodcast Follow us on Facebook @heavyliesthehelmet Visit our website at heavyliesthehelmet.com Contact us at heavyliesthehelmet@gmail.com Disclaimer: The views, information, or opinions expressed during the HLTH podcast are solely those of the individuals involved and do not

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15:39

Episode 21 - OG or NG Tubes: Who Nose?

Heavy Lies the Helmet ·

2018/07/20

Gastric tubes are commonly used in both the pre-hospital and hospital environment for a variety of reasons. Depending on the patient and/or provider, these range from orogastric to nasogastric in nature. In this podcast episode, we raise the question, "Does it matter which one we choose?" Tune in as we discuss gastric tubes in general, indications, contraindications, and why you should choose OG over NG whenever possible. We also feature a video demonstrating how to introduce an OG tube when

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19:04

Episode 20 - Measuring Up: ETT Cuff Manometry

Heavy Lies the Helmet ·

2018/06/27

The vast majority of endotracheal tubes (ETT) are now cuffed. In general practice, appropriate cuff pressures are assessed by external palpation or cession of an audible leak. But is this conventional method safe? In this podcast episode, we discuss hyper and hypo-inflation, frequency of their occurrence, and how to accurately measure cuff pressures to ensure appropriate inflation. ------------------------------------------------ Follow us on Twitter @HLTHPodcast Follow us on Facebook

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