Heavy Lies the Helmet
Mike Boone, Dan Rauh, & Dr. Amanda Humphries
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Recent Episodes
S1E138 Episode 138 - Seizing Control w/Skyee Edwards
Seizures demand fast decisions, but the best answers aren't always simple. In this episode, we sit down with Skyee Edwards, a pharmacist, to break down seizure cessation and prophylaxis in real-world…
S1E137 Episode 137 - Endocarditis: A Change of Heart
In this podcast episode, we dive into the clinical chaos of Infective Endocarditis. It's a disease that can quietly destroy valves before showing its hand. We discuss how it presents, why it matters…
S1E136 Episode 136 - Bronchoscope of Practice
Airway management gets dangerous. In this episode of the podcast, we explore prehospital bronchoscopy—a true bleeding-edge concept—and where it fits in managing airway obstruction before the…
S1E135 Episode 135 - Giving Patients Room to Breathe w/Melody Bishop (Part 2)
Mechanical ventilation doesn't have to feel like wizardry. In this podcast episode, we strip it back to what really matters—simple mental models, clean decision-making, and an approach that works…
S1E134 Episode 134 - Giving Patients Room to Breathe w/Melody Bishop (Part 1)
Mechanical ventilation doesn't have to feel like wizardry. In this podcast episode, we strip it back to what really matters—simple mental models, clean decision-making, and an approach that works…
S1E133 Episode 133 - Tracheostomy: The Neck's Best Thing
Tracheostomies are increasingly common in both prehospital and critical care transport settings, but they come with unique challenges. In this podcast episode, we break down short-term and long-term…
S1E132 Episode 132 - Prolonged Flight Care w/Dr. Tim Hurtado & Brett Weiner (Big Announcement)
What happens when resources are limited, transport is delayed, or you're forced to manage a critically ill patient far beyond the typical flight window? In this podcast episode, Dr. Tim Hurtado and…
S1E131 Episode 131 - TXA: The Clot Thickens
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…
S1E130 Episode 130 - Opinion-Based Medicine w/Mike Carunchio
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…
S1E129 Episode 129 - Little Lung Problems w/Nate Brown
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…
S1E128 Episode 128 - Keeping Trauma Close to the Chest
'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…
S1E127 Episode 127 - P.R.E.S. Sure
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…
S1E126 Episode 126 - Certification Versus Qualification
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,…
S1E125 Episode 125 - Breaking the Case: The Point of Ultrasound
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…
S1E124 Episode 124 - Canine Care w/George Tarver III
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…
S1E123 Episode 123 - To Treat or Not to Treat: Hypertension
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.…
S1E122 Episode 122 - Stay Positive When Preoxygenating (PREOXI Trial)
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…
S1E121 Episode 121 - Outside the Box: Cardiac Arrest Management
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…
S1E120 Episode 120 - Sorry, We Are Closed: Interfacility Transfers w/Austin Wingate
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,…
S1E119 Episode 119 - Losses and Gains: Antidiuretic Hormone
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…
Frequently Asked Questions
Heavy Lies the Helmet has published 100 episodes since August 2019, covering topics in Education, Health & Fitness.
Heavy Lies the Helmet is currently highly active with new episodes monthly. Average episode length is 52m.
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