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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

54:36

Episode 55 - The Art of Titration (Vasopressors)

Heavy Lies the Helmet ·

2020/05/02

Titrating intravenous drips is a source of contention for many providers. This is, in part, due to a wide range of approaches depending on the patient's condition. Further attribution is based on each individual's comfort level and respective professional background (e.g. ICU versus EMS). But what does the literature say regarding this topic? In this podcast episode, we are joined by our CMO and After the Call host, Jordan White, to discuss appropriate titration of vasopressors, inotropes, and

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21:32

Episode 54 - A World Upside Down: Transporting Prone...

Heavy Lies the Helmet ·

2020/04/04

With the rising number of COVID-19 patients, many of our listeners have requested additional information regarding transporting patients in the prone position. Despite refractory hypoxemia, many of these patients are benefiting from the prone position. Based on Episode 17 of the podcast, we updated our information in presentation-form. The following is a live recording of our talk being given at AMTC19. ------------------------------------------------ Twitter @heavyhelmet Facebook

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33:00

Episode 53 - From Beginning to End-Tidal (Presentation)

Heavy Lies the Helmet ·

2020/03/30

Recently, Bryan was asked to present at a local EMS conference. The majority of the audience was ground personnel and student nurses, so he decided to present the why and how of measuring waveform capnography. EtCO2 truly should be the 5th vital sign, so we hope you appreciate this recording. ------------------------------------------------ Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet YouTube /heavyliesthehelmet Website heavyliesthehelmet.com

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50:19

Episode 52 - Ins and Outs of Influenza

Heavy Lies the Helmet ·

2020/03/15

Due to a recent outbreak, influenza and COVID-19 have been in the forefront of people's minds. Influenza, in particular, continues to affect all age groups despite it being late in the typical season. In this podcast episode, we discuss the entire course of this disease process; from positive nasopharyngeal swab to downstream ARDS and the complex ventilator management associated with refractory hypoxemia. ------------------------------------------------ Twitter @heavyhelmet Facebook

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50:04

Episode 51 - Interrogating a Pulmonologist (Featuring...

Heavy Lies the Helmet ·

2020/02/28

In this podcast episode, we are joined by Dr. Deep Sharma, Interventional Pulmonologist, to answer listener questions in a rapid fire format. We cover everything from modes of ventilation to respiratory decompensation to snorting sugar dust. You asked. He answers. ------------------------------------------------ Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet YouTube /heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer:

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01:00:52

Episode 50 - Crash & Burn Resuscitation w/Chris...

Heavy Lies the Helmet ·

2020/01/29

Proper fluid management in burns is critical to survival. But what happens when we administer too little or too much fluid therapy? In this podcast episode, we are joined by Chris Stevenson to discuss epidemiology and appropriate resuscitation for the prehospital provider. Our discussion includes an assessment of past and current formularies and what you should be using. ------------------------------------------------ Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet

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41:10

Episode 49 - Addressing SALAD w/Matt Jensen

Heavy Lies the Helmet ·

2020/01/12

Suction-assisted laryngoscopy and airway decontamination (SALAD) was created to assist with the decontamination of a massively soiled airway. We sit down with flight nurse, researcher, and lead author Matt Jensen to discuss this technique and his most recent Air Medical Journal study aimed at investigating its usefulness in training prehospital emergency providers to improve their ability to intubate a contaminated airway. Video of Matt's colleague Will Hicks performing the SALAD technique with

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46:38

Episode 48 - Win Win w/Jason Peng & Ellen Parsley

Heavy Lies the Helmet ·

2019/12/26

The Annual Sim Cup at the Air Medical Transport Conference (AMTC) is a prestigious event that gathers flight clinicians from all over the world to compete. Jason Peng (ED and Flight NP) and Ellen Parsley (Flight Nurse) of University of Cincinnati Air Care joined forces and took home the 1st place trophy at AMTC19. We use this opportunity to sit down with them and discuss their experience, the preparation leading up to their participation, and their approach to the various scenarios that ultimately

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47:27

Episode 47 - Refrain and Restrain w/Nyssa Hattaway

Heavy Lies the Helmet ·

2019/11/30

RSI, chemical restraint, or physical restraint? In this podcast episode, we are joined by ED and Flight Nurse Nyssa Hattaway at AMTC19 to discuss medical management and aircraft safety considerations surrounding the patient with acute agitation, excited delirium, and/or drug-induced psychosis. We also touch on Droperidol; an old drug that is finding its way back into the Pyxis and hearts of emergency providers everywhere. ------------------------------------------------ Twitter @heavyhelmet

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50:45

Episode 46 - The Stethoscope Replacement w/Dr....

Heavy Lies the Helmet ·

2019/11/14

Making her second debut on the podcast, Dr. Cynthia Griffin joins us at AMTC19 to discuss the utility of ultrasound/POCUS. Cynthia presented on this topic and highlighted its indication when following your XABC's (Hemorrhage, Airway, Breathing, Circulation) exam. Are you currently using ultrasound in your practice? If not, are you actively trying to convince your medical director to implement it? If so, you don't want to miss this episode! ------------------------------------------------ Twitter

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48:56

Episode 45 - 10 Things Your Intensivist Wants You to...

Heavy Lies the Helmet ·

2019/10/25

As an air medical provider, our bread and butter is interfacility transports. Whether at the referring or receiving facility, we deal with Intensivists on a regular basis. What are their expectations? How can we provide the best care for our ICU level patients while simultaneously pleasing the facility staff? Our resident nocturnal Intensivist, Dan Rauh, leads a discussion in this podcast episode regarding 10 random things that your Intensivist wants you to know when caring for their patients

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02:11

G.E.A.R. 2020 Trailer

Heavy Lies the Helmet ·

2019/10/05

The title says it all. We hope you will join us. *Standby for more information regarding this unique opportunity to expand your knowledge. ------------------------------------------------ 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

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01:16:26

Episode 44 - Blood, Sweat, and GEAR (2019)

Heavy Lies the Helmet ·

2019/10/01

In our final Guatemala Educational Aircrew Retreat (GEAR) 2019 podcast episode, we summarize the overall experience. G.E.A.R. was memorable, to say the least. It resulted in currency, competency, and confidence through camaraderie and collaboration. But what do Black Wolf Special Helicopter Operations, RED MED, and HeliSOS Servicios Medicos mean? Where do Chris Sharpe and Chris Gibson come from? What is their motivation behind this training? And how can you experience firsthand what we've been

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55:41

Episode 43 - Surviving Culture, Part 2 (GEAR 2019)

Heavy Lies the Helmet ·

2019/09/16

Part 1 is on our other podcast platform, After the Call. In this podcast episode, we are again joined by survival experts Chris “Gibbo” Gibson and Jimmy “Jungle” McSparron to discuss the concept of tacticool. This common expression is regularly featured on social media when individuals inquire about various gear options for one’s person. We discuss the dangerous mindset surrounding this toxic ideal, highlighting the importance of factual preparedness. If you’re new or old to the industry, this

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31:20

Episode 42 - From Cockpit to Firepit (GEAR 2019)

Heavy Lies the Helmet ·

2019/09/02

With kick off our Guatemala Educational Aircrew Retreat (GEAR 2019) series with an open forum. Located at Guatemala's aviation training center, we sat in a mock airplane, pulled out the lapel mics, and decided to discuss the broad topic of survival. The morning after our jungle excursion inspired a multitude of discussions ranging from fire to survival gear to everything in between. ------------------------------------------------ Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram

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47:13

Episode 41 - Advanced Practice Makes Perfect w/Bill...

Heavy Lies the Helmet ·

2019/08/07

In this podcast episode, we are joined by Dr. Bill Hinckley to discuss advanced practice models in HEMS. Bill is a rare breed that defines "passion" in HEMS, to say the least. His experience coupled with being an overwhelmingly nice guy led to a lengthy discussion. We did not want to cheat your experience, so we split the podcast episode into two separate parts. This second part focuses on the big picture. We talk about the Airline Disregulation Act (ADA), HEMS bureaucracy, over-saturation, and

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45:43

Episode 40 - Advanced Practice Makes Perfect w/Bill...

Heavy Lies the Helmet ·

2019/07/31

Is the Registered Nurse/Paramedic crew configuration optimal for HEMS? In this podcast episode, we are joined by Dr. Bill Hinckley to discuss advanced practice models. Bill is a rare breed that defines "passion" in HEMS, to say the least. His experience coupled with being an overwhelmingly nice guy led to a lengthy discussion. We did not want to cheat your experience, so we split the podcast episode into two separate parts. This first part focuses primarily on Bill's experience as an EM physician,

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44:12

Episode 39 - Moulage Rouge w/Mike Abernethy

Heavy Lies the Helmet ·

2019/07/09

In this podcast episode, we are joined by Flight Physician Mike Abernethy to discuss the importance of high fidelity, simulation training. We discuss common pitfalls of simulation learning, EMS education, and highlight tips and tricks for building successful moulage; the art of applying mock injuries for the purpose of training emergency response teams and other medical and military personnel. Also, Mike advocates for a specific trauma course that seems to be doing things right across the pond

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49:16

Episode 38 - Breaking the Case: P.E. MERGENCY

Heavy Lies the Helmet ·

2019/06/23

Armchair Air is at it again with this is the second installment of the "Breaking the Case" series where we discuss case studies related to previously covered topics. Even though some content from Episode 33 - P.E. MERGENCY is reviewed, we recommend listening to it before proceeding. It will provide the foundation needed to understand the concepts that we base our decision-making on. With that being said, this episode discusses three patient scenarios where pulmonary embolism plays a factor in their

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32:05

Episode 37 - Prehospital Sepsis (Presentation)

Heavy Lies the Helmet ·

2019/06/04

Earlier this year, we were asked to present at a local critical care conference. Due to the recent release of the 1-hour bundle, this was a timely discussion regarding pre-hospital sepsis. We touched on various definitions, diagnostics, treatments, and the ongoing controversy surrounding the Surviving Sepsis Campaign. Since we try to record most of our talks, we decided to share this particular presentation with you on the podcast. We hope you enjoy this format for a change of pace

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147 results

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