Podcasts by Heavy Lies the Helmet
"Heavy lies the crown" is a common misquote of "uneasy lies the head that wears a crown" from Shakespeare's Henry IV, Part 2. It refers to the responsibility and insecurity of governing an entire kingdom. Likewise, "heavy lies the helmet" refers to the responsibility we face as critical care transport providers working in an autonomous and often unpredictable environment. Our minds are eased with education that better prepares us for any situation that we may encounter. That is exactly what Heavy Lies the Helmet provides.
Founded by two brothers, Heavy Lies the Helmet is comprised of industry leaders working in the fields of pre-hospital and inter-hospital critical care and emergency services. We are an accredited podcast, blog, and conference that openly discusses the world of resuscitation and aviation. We highlight caring for critically ill and injured patients in addition to the controversies surrounding their management. Though tailored to the transport environment, our information is applicable to any discipline working in an emergency and/or intensive care setting. We utilize the most recent evidence to provide applicable and accurate education that can assist in improving individual clinical practice and overall program operations.
We offer continuing education units to any listener and/or reader interested in obtaining credit for their progressive learning experience. Please visit heavyliesthehelmet.com/ce for more information.
Further podcasts by Mike & Bryan Boone
Podcast on the topic Medizin
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Episode 114 - You Train Ukraine w/Kevin Collopy and Brock Jenkins from 2023-11-30T20:54
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...
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Episode 113 - Being B.R.A.S.H. When Treating Bradycardia w/Dr. Kate Connelly and Jake Miller from 2023-11-15T15:31
B.R.A.S.H. Syndrome is a phenomenon with a constellation of Bradycardia, Renal failure, AV nodal blockade, Shock, and ...
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Episode 112 – Acid Base Trifecta (Presentation) from 2023-10-31T20:39
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 ...
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Episode 111 - Critical Comfort Care w/Brianna Fields from 2023-10-18T22:02
As a critical care clinician, do you consider yourself well-versed in comfort care? Do you consider yourself well-rehearsed in having the discussions leading up to the patient's or family's deci...
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Episode 110 - The Truth About A-Fib from 2023-09-23T12:16
Atrial fibrillation, particularly A-Fib with RVR (Rapid Ventricular Response), is often an emergency requiring emergent intervention beyond ACLS and its associated algorithms. Identification of ...
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Episode 109 - 10 Things Your Gastroenterologist Wants You to Know w/Dr. Josh Peck from 2023-09-05T16:01
Continuing our "10 Things" series, we focus our attention on gastroenterology. GE/GI goes well beyond colorectal. From bleeding esophageal varices to pancreatitis to liver failure, these patient...
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Episode 108 - 10 Things Your PEM Physician Wants You to Know w/Dr. Dominique Diggs from 2023-06-30T19:33
Pediatric Emergency Medicine (PEM) is a sub-speciality that many clinicians find intimidating. Are pediatric patients truly unique or are they simply "little adults"? In this podcast episode, we...
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Episode 107 - Vascular Disaster from 2023-05-25T13:58
Vascular emergencies refer to any time-sensitive condition where perfusion is prevented secondary to bleeding or occlusion of a vessel. These can include, but is not limited to, the superior mes...
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Episode 106 - Breaking the Case (Pt. 2) from 2023-05-04T12:40
Reviewing case studies with trusted colleagues can be extremely beneficial. Not only does it provide a moment of reflection on actions taken, but it also provides different approaches that may b...
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Episode 105 - 10 Things Your Emergency Physician Wants You to Know from 2023-03-29T16:32
Have you ever handed off to an ER doctor, and you felt they were displeased with your care? Have you ever received an order from an ER doctor, and you didn't quite understand why? In this podcas...
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Episode 104 - OMI, I Almost Died from 2023-03-05T14:45
Myocardial infarctions can present in a variety of ways depending on vessel involvement, timing of pathology, and interpretation of diagnostics (e.g., 12-lead EKG). Unfortunately, not every pati...
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Episode 103 - Arrest, ROSC, Repeat from 2023-02-06T15:03
No matter what level of scope, management of medical and traumatic cardiac arrests is the focus of many clinicians. But what happens after return of spontaneous circulation (ROSC) is achieved? M...
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Episode 102 - Long and Short of Learning w/Will Wingfield from 2023-01-01T14:41
The medical industry puts great emphasis on formal education via university and other training programs. Due to financial incentive, these institutions often discourage independent learning desp...
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Episode 101 - Anti-Antibiotics from 2022-12-08T12:38
Whether it's antibiotic-resistant "super bugs" or administration prior to acquiring blood cultures, empirical use of antibiotics is controversial. Should we be administering antibiotics in the p...
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Episode 100 - Medical Science Theater 100 from 2022-11-22T13:16
It's not clinical. It's not non-clinical, really. Celebrating our 100th full podcast episode, Bryan and Mike sit down in a Mystery Science Theater 3000 format and make fun of our 1st ep...
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Episode 99 - A Survivor's Story w/Jonathan Godfrey and Chris Stevenson from 2022-10-31T12:43
Based on the Crash and Learn 2022 special feature presentation, we sit down with Jonathan Godfrey and Chris Stevenson to discuss the EMS helicop...
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Episode 98 - Ups and Lows of GI Bleeds from 2022-10-13T11:28
Gastrointestinal hemorrhages can present in a variety of ways from a variety of sources. Bleeding esophageal varices, in particular, can be life-threatening. How do we manage these patients? Whe...
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Episode 97 - How Do You Copy from 2022-09-23T13:15:54
Whether it's radio or bedside reporting, communication is a requirement of safely handing off patients. How do we build confidence in our ability to communicate about our patients? How do we dev...
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Episode 96 - Airway Management for Airheads w/Dr. Mario Rugna from 2022-08-28T17:19:25
Having an appropriate mindset is crucial when it comes to airway management, particularly in a prehospital and/or emergency setting. Whether it's team dynamics or the tools at our disposal, we n...
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Episode 95 - Busted Skulls and Myths from 2022-08-08T01:22:46
Traumatic Brain Injury (TBI) is always in the back of our minds when treating polytrauma patients. Unfortunately, the evidence has a controversial history. More and more, we are reminded of how ...
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Episode 94 - Treat the Heat w/Dr. Justin Hensley from 2022-07-15T13:10:09
Heat illness is prevalent around this time of year. And compared to hypothermia, hyperthermia has a lower t...
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Episode 93 - Performing Under Pressure w/Dr. Stephen Hearns from 2022-06-19T13:53:01
It's no secret that we as emergency and critical care professionals are expected to perform highly in high pressure situations. Unfortunately, none of us are immune to limited cognitive capacity...
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Episode 92 - Flight Suit Pat Down (Audio Only) from 2022-05-31T14:22:07
What should you carry in your flight suit as an American-based HEMS provider? In our opinion, no one can definitively tell you that. But we can attempt to share some ideas based on our personal ...
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Episode 91 - Immobi-Lies w/Dr. Mike Hudson from 2022-04-30T17:06:42
Mores lies! But this time, we focus on empirical use of spinal immobilization devices and the harm associated with them. The dogma surrounding this topic is staggering, to say the least. From EM...
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Episode 90 - The Key to Ketoacidosis from 2022-04-15T13:47:40
Diabetic Ketoacidosis (DKA) is a common metabolic disorder, particularly in the pediatric population. If treated inappropriately, these patients can quickly decompensate to the point of hypovolemic...
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Episode 89 - Para-Lies from 2022-03-30T11:23:07
There are a lot of "lies"/misunderstandings surrounding appropriate use of paralytics AKA neuromuscular blocking agents (NMBAs). When are these medications truly indicated? How do we appropriate...
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Episode 88 - Closing the Blood Gates from 2022-03-08T12:56:52
The clotting cascade, particularly in the context of anti-coagulation reversal can be complex to understand. Unfortunately, many of our patients are on anti-coagulation agents that require rever...
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Episode 87 - The Lesser Evil Overdose w/Dr. Arne Skulberg from 2022-02-17T20:15:35
Which is the lesser evil, opioid or naloxone overdose? To avoid adverse effects, how should we be administering naloxone in the presence of opioid overdose? In this podcast episode, we are joine...
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Episode 86 - Pilot Down But Not Out w/Wade Dunford&Scott Davis from 2022-01-31T15:15:14
An incapacitated pilot scenario is an unfortunate but potential reality of working in rotor and fixed wing EMS. What do you do as medical crew members if your pilot becomes incapacitated? What t...
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Episode 85 - A Great First Compression w/Dr. Per Olav Berve from 2022-01-13T11:46:15
Transport of patients with ongoing CPR to the correct treatment center is a high risk but potentially lifesaving intervention. Mechanical CPR (mCPR) devices are recommended to reduce risk and ma...
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Episode 84 - VAD Max w/Allen Wolfe from 2021-12-16T14:41:46
Ventricular Assist Devices (VAD) come in many shapes and sizes. From right to left, extracorporeal to intracorporeal, pulsatile to continuous - It can be confusing. Join us for a podcast episode...
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Episode 83 - A Few Good Mentors w/Adam Tresidder&Shane Turner from 2021-11-10T14:01:37
If "you can't handle the truth", you can't handle a mentor. Mentors come in the form of leaders, educators, guides, and advisors to help you with honest self-reflection in order to improve yours...
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Episode 81 - Thyroid Storm Chaser w/Chase Turner from 2021-10-12T15:00
Thyroid Storm and Thyrotoxicosis are often misdiagnosed due to presenting similarly to many other disease processes. How do we identify this condition? What are the standard treatment options? A...
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Episode 80 - Resus Kung Fu w/Dr. Michael Lauria from 2021-09-25T12:08:34
"Kung" means "skillful work" and "Fu" means "time spent". "Resus Kung Fu" refers to the resuscitation skills we acquire over time to become a true master. But how do we achieve mastery of these ...
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Episode 79 - Medicine in the Wild w/David Fifer from 2021-09-05T14:51:45
Have you ever been hiking in the woods and wondered what emergency medical services are available in case you got injured? The level of scope varies greatly across the country for wilderness eme...
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Episode 78 - Eating Our Humble Pie (BaSICS Trial) from 2021-08-19T11:32:20
Sometimes, we're wrong. And when it comes to normal saline, we might be.
Tune in to a breaking news podcast of sorts where we discuss the recently published BaSICS Randomized Clinical Tri...
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Episode 77 - My First Crush w/Chris Stevenson from 2021-08-07T12:25:18
Though the incidents of crush injuries may be low in frequency, major crush injury syndrome is associated with a high mortality rate. In this podcast episode, we sit down with regular guest, Chr...
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Episode 76 - Pressure to Intubate w/Jon Inkrott from 2021-07-15T14:29:57
How do you decide between non-invasive and invasive ventilation? If you decide on non-invasive ventilation (NIV), how do you choose between heated high flow nasal cannula (HFNC), C-pap, or Bipap...
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Episode 75 - Door to Balloon and in Between w/Dr. Adam Gottula&Dr. Trevor Skrobut from 2021-06-27T23:26:54
Managing Acute Myocardial Infarction (AMI) patients is a concept that many of us learn early on in our careers. Because of that, we can potentially underestimate the importance of our interventi...
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Episode 74 - These Aren't the Labs You're Looking For from 2021-06-04T11:11:24
There are a lot of misconceptions surrounding the meaning of certain lab values and what a positive truly is. Are these numbers as black and white as they are perceived? In this podcast episode,...
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Episode 73 - Coming in Third w/Dr. Zaf Qasim from 2021-05-13T13:34:44
Taking care of the High Risk OB patient is outside the comfort zone of many of us. The third trimester, specifically, presents unique challenges both pregnancy-related and otherwise. Why are nor...
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Episode 72 - The Business of Medicine w/Chris Smetana from 2021-04-26T15:20:22
Has administration ever made a decision that you didn't agree with and/or understand? Of course! As much as we don't like to admit it, the medical industry is a business. For that reason, financ...
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Episode 71 - Chicken, Starfish&Cat Scans from 2021-04-08T23:24:15
Due to the popularity of Episode 68 - X-Ray Vision, we've decided to extend our radiology series and focus on computerized tomograph...
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Episode 71 - Chicken, Starfish&Cat Scans from 2021-04-08T23:24:15
Due to the popularity of Episode 68 - X-Ray Vision, we've decided to extend our radiology series and focus on computerized tomograph...
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Episode 70 - A Mind-Blowing Case Study (Presentation) from 2021-03-24T16:55:06
Some clinicians may have a tendency to neglect performing a thorough neurological exam in a comatose patient. And when a neuro patient requires an advanced airway, some clinicians may not be min...
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Episode 69 - Resisting Traumatic Arrest w/Dr. Amanda Humphries from 2021-02-22T13:16:09
Pre-hospital resuscitation of the traumatic arrest patient is controversial, to say the least. Some evidence has shown our efforts to be futile. But are the studies skewed by inappropriate manag...
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Episode 68 - X-Ray Vision from 2021-01-30T22:35:45
Though we are not Radiologists, we constantly find ourselves needing to interpret basic chest x-rays. Whether it's ETT placement or ARDS identification, it is important to know what you're looki...
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Episode 68 - X-Ray Vision from 2021-01-30T22:35:45
Though we are not Radiologists, we constantly find ourselves needing to interpret basic chest x-rays. Whether it's ETT placement or ARDS identification, it is important to know what you're looki...
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Episode 67 - The Calm After the Storm from 2020-12-30T12:31:34
Recently, Central America was devastated by back-to-back Category 4 tropical storms including Hurricane Eta and Lota. As a Guatemalan resident, our very own Chris 'Razor' Sharpe was in the thick...
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Episode 66 - The Silent Seizure from 2020-12-08T14:14:27
Non-Convulsive Seizures (NCS) or Non-Convulsive Status Epilepticus (NCSE) is defined as cerebral ictal activity without obvious clinical signs. Altered mental status is usually the only notable ...
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Episode 65 - One Hiring to Rule Them All (Graduation Presentation) from 2020-11-15T16:39
Acquiring a job in flight medicine is only the beginning. In this presentation to the 2020 Flight Crew Academy graduating class, Mike discusses three archetypes of new hires. He highl...
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Episode 64 - Trapped Inside: Obstructive Lung Diseases (ASTNA Webinar) from 2020-11-06T14:04:38
With the upcoming respiratory season, many of us will be caring for an increased number of pediatric and adult patients with pulmonary disease processes. Obstructive physiology, speci...
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Episode 63 - Flight Medicine Rules w/Chris Stevenson from 2020-10-08T11:45:57
Chris Stevenson is back for a third go-round, so I think that makes him a regular guest on the show. This time, he came at us with a non-clinical topic that peeked our interest...
Likely ...
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Episode 62 - Fast Rhythms, Furious Management w/Dr. Salim Rezaie (Bonus Feature) from 2020-09-14T13:19:46
Due to 'The Big C', ECHO Yacht Club was cancelled... but life goes on, and so does our podcast. We decided to turn lemons into lemonade and have our friend and emergency medicine powerhouse Dr. ...
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Episode 62 - Fast Rhythms, Furious Management w/Dr. Salim Rezaie (Bonus Feature) from 2020-09-14T13:19:46
Due to 'The Big C', ECHO Yacht Club was cancelled... but life goes on, and so does our podcast. We decided to turn lemons into lemonade and have our friend and emergency medicine powerhouse Dr. ...
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Episode 61 - Down Under Dynamics w/Dr. Cliff Reid from 2020-08-25T12:10:18
Whether it's in regard to scope of practice, clinical judgment, or professional communication, transport is a very dynamic environment. We had the privilege of welcoming the infamous Dr. Cliff R...
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Episode 61 - Down Under Dynamics w/Dr. Cliff Reid from 2020-08-25T12:10:18
Whether it's in regard to scope of practice, clinical judgment, or professional communication, transport is a very dynamic environment. We had the privilege of welcoming the infamous Dr. Cliff R...
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Episode 60 - Save Your Life w/Randy Mains (Part 2) from 2020-08-06T13:39:13
This could quite possibly be one of our most important podcast episodes to date featuring one of the most interesting persons in our industry.
What is the opposite of complacency? And how...
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Episode 59 - Save Your Life w/Randy Mains (Part 1) from 2020-07-30T11:48:07
This could quite possibly be one of our most important podcast episodes to date featuring one of the most interesting persons in our industry.
What is complacency? And how do you know if ...
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Episode 58 - Going With the Flow (Presentation) from 2020-07-15T17:02:59
High flow nasal cannula is an increasingly popular modality for Acute Respiratory Distress and Failure. Previously, we saw it used mostly in the pediatric population. But as time has went on, es...
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Episode 57 - Weight and Calculate w/Lynn Lamkin from 2020-06-30T12:14:05
How do you calculate your drug dosages? What do you base it on? In this podcast episode, we are joined by Lynn Lamkin, EM pharmacist, to discuss weight based versus non-weight based drug dosages...
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Episode 56 - Where There's Smoke, There's Injury w/Chris Stevenson&Dr. Michael Feldman from 2020-06-15T11:56:49
You asked. We answered. In a follow-up to our burn resuscitation podcast episode, we are joined by Chris Stevenson and his burn cent...
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Episode 56 - Where There's Smoke, There's Injury w/Chris Stevenson&Dr. Michael Feldman from 2020-06-15T11:56:49
You asked. We answered. In a follow-up to our burn resuscitation podcast episode, we are joined by Chris Stevenson and his burn cent...
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Episode 55 - The Art of Titration (Vasopressors) from 2020-05-02T19:17:25
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. F...
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Episode 54 - A World Upside Down: Transporting Prone (Presentation) from 2020-04-04T16:22:57
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...
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Episode 53 - From Beginning to End-Tidal (Presentation) from 2020-03-30T13:30:50
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 wavefo...
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Episode 52 - Ins and Outs of Influenza from 2020-03-15T14:09:50
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 s...
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Episode 51 - Interrogating a Pulmonologist (Featuring Dr. Deep Sharma) from 2020-02-28T00:01:20
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 res...
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Episode 51 - Interrogating a Pulmonologist (Featuring Dr. Deep Sharma) from 2020-02-28T00:01:20
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 res...
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Episode 50 - Crash&Burn Resuscitation w/Chris Stevenson from 2020-01-29T14:45:21
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 d...
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Episode 49 - Addressing SALAD w/Matt Jensen from 2020-01-12T12:18:20
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 ...
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Episode 48 - Win Win w/Jason Peng&Ellen Parsley from 2019-12-26T14:40:56
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 Elle...
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Episode 47 - Refrain and Restrain w/Nyssa Hattaway from 2019-11-30T12:02:25
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...
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Episode 46 - The Stethoscope Replacement w/Dr. Cynthia Griffin from 2019-11-14T00:13:49
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 fol...
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Episode 46 - The Stethoscope Replacement w/Dr. Cynthia Griffin from 2019-11-14T00:13:49
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 fol...
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Episode 45 - 10 Things Your Intensivist Wants You to Know from 2019-10-25T14:30:04
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 expecta...
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G.E.A.R. 2020 Trailer from 2019-10-05T12:55:10
The title says it all. We hope you will join us.
*Standby for more information regarding this unique opportunity to expand your knowledge.
--------------------------------...
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Episode 44 - Blood, Sweat, and GEAR (2019) from 2019-10-01T12:40:03
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...
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Episode 43 - Surviving Culture, Part 2 (GEAR 2019) from 2019-09-16T16:14:20
Part 1 is on our other podcast platform, After the Call.
In this podcast episode, we are again joined...
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Episode 42 - From Cockpit to Firepit (GEAR 2019) from 2019-09-02T23:23:47
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 mi...
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Episode 41 - Advanced Practice Makes Perfect w/Bill Hinckley (Part 2) from 2019-08-07T16:20:39
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. H...
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Episode 40 - Advanced Practice Makes Perfect w/Bill Hinckley (Part 1) from 2019-07-31T22:27:07
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...
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Episode 39 - Moulage Rouge w/Mike Abernethy from 2019-07-09T18:29:43
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 simulati...
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Episode 38 - Breaking the Case: P.E. MERGENCY from 2019-06-23T22:52:18
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 fro...
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Episode 37 - Prehospital Sepsis (Presentation) from 2019-06-04T22:33:41
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 to...
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Episode 36 - Induction Death Match from 2019-05-14T14:14:04
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 addr...
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Episode 35 - Provider Zero w/Shane Turner (CAMP ECHO) from 2019-04-30T23:01:52
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 profes...
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Episode 34 - The REBOA Constrictor w/Liam Madigan from 2019-04-16T19:15:18
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 Madiga...
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Episode 33 - P.E. MERGENCY from 2019-03-30T11:14:11
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...
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Episode 32 - Nacho Everyday Perforation w/Brian King from 2019-03-13T21:39:56
Esophageal perforation/rupture is a rare, but life-threatening condition that requires immediate intervention. Late identification can result in pneumothorax, pneumomediastinum, subcutaneous emp...
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Episode 31 - The I in Team Safety from 2019-02-17T00:41:43
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 ...
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Episode 30 - Breaking the Case: Nephro No! from 2019-01-26T21:15:09
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 p...
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Episode 29 - Blocker? Near Killed Her! (Featuring Dan Rusyniak) from 2018-12-30T00:47:42
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 (T...
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Episode 28 - AKI: Just Kidneying Around from 2018-12-10T22:39:09
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 c...
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Episode 27 - Podcast Row w/Eric Bauer&Mike Verkest (AMTC18) from 2018-11-15T00:36
We wrap up AMTC18 in style with our exhibit hall neighbors and fellow podcasters Eric Bauer & Mike Verkest of FlightBridgeEDand Listen
Episode 26 - Hard Headed w/Carlos Andino (AMTC18) from 2018-11-06T05:00:11
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 ou...
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Short Final - Sunset Eyes (AMTC18) from 2018-10-30T19:43:40
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 al...
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Episode 25 - Hole in One w/Cynthia Griffin (AMTC18) from 2018-10-26T05:00:27
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 o...
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Episode 24 - ECHONOOGA Debrief w/Brad Garmon from 2018-09-24T23:42:58
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...
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Episode 23 - Triple Threat w/Dan Rauh (ECHONOOGA) from 2018-09-16T11:19:49
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...
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Episode 22 - The Dark Side of Electrolytes (Part 5: Magnesium) from 2018-08-14T16:22:50
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...
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Episode 21 - OG or NG Tubes: Who Nose? from 2018-07-20T16:49:05
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 i...
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Episode 21 - OG or NG Tubes: Who Nose? from 2018-07-20T16:49:05
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 i...
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Episode 20 - Measuring Up: ETT Cuff Manometry from 2018-06-27T11:18:04
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 conven...
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Right Words at the Right Time: ASL (Video) from 2018-06-04T23:58:58
In America, many of our patients do not speak English. This presents a challenge for us as healthcare providers when trying to communicate or acquire pertinent information regarding their illnes...
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Episode 19 - Beneath the Surface w/Chris Sharpe from 2018-05-17T11:12:28
Helicopter ditching is a harsh reality of the HEMS industry that can affect any crew flying near bodies of water; large or small. In this podcast episode, we are joined by Chris Sharpe who, amon...
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Episode 18 - Fluid Resuscitation: What to Base It On from 2018-05-02T21:54:14
Base deficit and excess are reliable biomarkers in determining the severity of our patients’ conditions. But is a deficit an automatic indicator for fluid resuscitation, as some may believe? Tun...
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Short Final - Dilution is not the Solution from 2018-04-06T22:27:09
Dilution of intravenous medications is a common practice in most healthcare settings. Often times, this stems from ease of administration and other variables based on the provider's comfort leve...
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Episode 17 - A World Upside Down: Transporting Prone from 2018-03-17T01:05:44
Prone positioning in the presence of Acute Respiratory Distress Syndrome (ARDS) has been a controversial topic over the years due to variable results. Recent studies, however, have shown a signi...
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Episode 17 - A World Upside Down: Transporting Prone from 2018-03-17T01:05:44
Prone positioning in the presence of Acute Respiratory Distress Syndrome (ARDS) has been a controversial topic over the years due to variable results. Recent studies, however, have shown a signi...
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Episode 16 - Your Roll in Securing the Pediatric Airway from 2018-02-27T19:06:21
In this episode, we discuss the logistics of securing pediatric endotracheal tubes and its relation to the pre-hospital environment. Tune in as we touch on the pro's and con's of commercial devi...
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Episode 16 - Your Roll in Securing the Pediatric Airway from 2018-02-27T19:06:21
In this episode, we discuss the logistics of securing pediatric endotracheal tubes and its relation to the pre-hospital environment. Tune in as we touch on the pro's and con's of commercial devi...
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Episode 15 - Pick a Valve, Any Valve: Multivalvular Disease from 2018-01-31T18:38:42
In this episode, we discuss Multivalvular Disease. Multivalvular Disease is a fluid and complex disease process that requires expert evaluation on the part of the emergency and/or critical care ...
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Episode 14 - Not All Cannulas Are Created Equal w/Tyler Christifulli from 2018-01-10T16:22:43
In this episode, we are joined by Tyler Christifulli of the FOAMfrat blog and podcast (formally Lifestar Podcast), and FlightBridgeEd. Apneic oxygenation has been recently popularized for use du...
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Episode 14 - Not All Cannulas Are Created Equal w/Tyler Christifulli from 2018-01-10T16:22:43
In this episode, we are joined by Tyler Christifulli of the FOAMfrat blog and podcast (formally Lifestar Podcast), and FlightBridgeEd. Apneic oxygenation has been recently popularized for use du...
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Episode 13 - Serotonin Syndrome: When Medications Go Wrong from 2017-12-25T17:31:54
Most of us carry and commonly administer medications that affect the neurotransmitter serotonin (e.g. Fentanyl). Additionally, most of our patients with a history of depression and/or anxiety ar...
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Episode 12 - The Dark Side of Electrolytes (Part 4: Calcium) from 2017-12-02T17:38:32
In this episode, we continue our electrolyte series by focusing on one of the most abundant minerals in our body: calcium. Calcium is an ion that plays a number of roles in maintaining homeosta...
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Episode 11 - Gearing Up for Transport w/Todd Hope from 2017-11-07T16:39:55
Are you new to transport medicine and are looking for your first set of personal gear? Or, are you a seasoned critical care transport provider looking to change your current setup and upgrade to...
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Episode 10 - AMTC 17 Debrief (Day 3) from 2017-10-26T21:32:47
In this episode, we continue our discussion of AMTC 17. Tune in as we touch on key points from the AMTC talks that we attended that will provide you with several clinical pearls that may apply t...
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Episode 9 - AMTC 17 Debrief (Day 2) from 2017-10-23T19:49:58
In this episode, we continue our discussion of AMTC 17. Tune in as we touch on key points from the AMTC talks that we personally attended. Due to the large amount of discussion, this podcast is ...
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Episode 8 - AMTC 17 Debrief (Day 1) from 2017-10-21T16:40:24
Were you unable to attend AMTC? If you were, were you able to attend every talk that you wanted to? Or, are you wondering if you missed a key point during a talk that you were able to attend? ...
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Episode 7 - The Dark Side of Electrolytes (Part 3: Potassium) from 2017-10-13T21:02:01
In this episode, we continue our electrolyte series by discussing one of the most infamous electrolytes: potassium. Tune in as we cover hypo and hyper states, including their effects on our bod...
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Episode 6 - Coagulate or Bust: DIC from 2017-09-26T20:06:52
In this episode, we discuss one of the most dangerous secondary complications seen in the critically ill: Disseminated Intravascular Coagulation (DIC). Tune in as we cover the clotting cascade...
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Short Final - Should Nurses Intubate? from 2017-09-08T01:20:55
This is the next installment of our "Short Final" series. In this particular episode, we discuss a controversial topic regarding nurses' qualification to intubate in the pre-hospital environmen...
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Episode 5 - The Dark Side of Electrolytes (Part 2: Sodium) from 2017-08-30T17:49:57
In Part 1, we discussed chloride and touched on its close relationship with sodium. In this episode, we continue our multi-part series focusing specifically on sodium. Tune in as we discuss on...
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Episode 4 - Active Shooter: Briefing with a SWAT Doc from 2017-08-14T22:43:58
In this episode, we interview Dr. Robert McKnight; an emergency physician who specializes in tactical medicine. Active shooter scenarios are increasingly common and require specialized training...
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Episode 3 - The Dark Side of Electrolytes (Part 1: Chloride) from 2017-07-27T17:57:24
In this episode, we begin a multi-part series regarding electrolytes. Listen in as we discuss hypo and hyper states, and the obscure changes that will drastically change your plan of attack in t...
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Short Final - How to Get a Job from 2017-07-17T17:03:35
This is the first episode of our "Short Final" series where we discuss topics that do not necessitate a full length episode. That includes, but is not limited to, non-clinical content. In this ...
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Episode 2 - The Sick Sickle Cell Patient from 2017-07-04T19:45:41
Most of us are familiar with resuscitation of the standard sick person. But how do we change our course of treatment when caring for the patient with Sickle Cell Disease (SCD)? In this episode, ...
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Episode 1 - To Vagal or Not to Vagal: Traumatic Bradycardia from 2017-06-24T13:57:43
In this episode, we discuss potential bradycardia in traumatic injuries. We touch on main differential diagnoses and their treatment options; primarily focusing on neurological injuries and how ...
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Episode 0 - Introductions from 2017-06-14T22:55
In this episode, we introduce ourselves and explain the intent of our podcast. We are extremely excited to begin this journey and hope to contribute valuable information to the critical care tra...
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