Heavy Lies the Helmet
137 episodes - English - Latest episode: 25 days ago - ★★★★★ - 218 ratings"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.
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Episodes
Episode 118 - Trigger Warning: Angioedema
March 25, 2024 14:46 - 46 minutes - 66 MBAngioedema 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! ----------------------------------...
Episode 117 - Dye or Die: Methylene Blue w/Will Heuser
February 28, 2024 14:20 - 50 minutes - 71.5 MBWhen 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 pathophysio...
Episode 116 - Around the World: HEMS in México w/Daniel Peñaflor
January 27, 2024 20:44 - 58 minutes - 81.8 MBThough 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 ...
Episode 115 - Me, My Self-Loading Baggage, and I w/Miles Dunagan and Brett Reeder
December 20, 2023 18:12 - 1 hour - 93.6 MB"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 fli...
Episode 114 - You Train Ukraine w/Kevin Collopy and Brock Jenkins
November 30, 2023 20:54 - 37 minutes - 52.5 MBThe 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 ...
Episode 113 - Being B.R.A.S.H. When Treating Bradycardia w/Dr. Kate Connelly and Jake Miller
November 15, 2023 15:31 - 30 minutes - 43.7 MBB.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! --------------------------...
Episode 112 – Acid Base Trifecta (Presentation)
October 31, 2023 20:39 - 56 minutes - 128 MBDan 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 Faceboo...
Episode 111 - Critical Comfort Care w/Brianna Fields
October 18, 2023 22:02 - 47 minutes - 67.2 MBAs 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 decision to implement it? This concept may be outside your comfort zone, especially if you work in emergency medicine. But the fact of the matter is, from the prehospital environment all the way to the ICU, we are provided many opportunities for implementation of this type of care plan. Join us for a disc...
Episode 110 - The Truth About A-Fib
September 23, 2023 12:16 - 43 minutes - 61.6 MBAtrial fibrillation, particularly A-Fib with RVR (Rapid Ventricular Response), is often an emergency requiring emergent intervention beyond ACLS and its associated algorithms. Identification of A-Fib can be challenging in itself, much less trying to determine what intervention(s) are indicated. This includes chemical and/or electrical cardioversion. So where do we start? And where should we end up? Dan and Mike will let you know in this podcast episode. Get CE hours for our podcast episode...
Episode 109 - 10 Things Your Gastroenterologist Wants You to Know w/Dr. Josh Peck
September 05, 2023 16:01 - 46 minutes - 65.9 MBContinuing 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 patients require specific diagnostics and interventions to improve their mortality and morbidity. Join us for a "pearl packed" episode where we discuss practical steps you can take to improve your care of this specialized patient population. Get CE hours for our podcast episodes HERE! ------------------...
Episode 108 - 10 Things Your PEM Physician Wants You to Know w/Dr. Dominique Diggs
June 30, 2023 19:33 - 1 hour - 110 MBPediatric 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 are joined by Dr. Dominique Diggs, board certified PEM physician, to demystify pediatric emergency care with 10 tips that will help you the next time you care for this patient population. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhel...
Episode 107 - Vascular Disaster
May 25, 2023 13:58 - 1 hour - 86.2 MBVascular 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 mesenteric artery (SMA) and aorta. And depending on the severity of the aneurysm or embolism/thrombus, downstream ischemia can significantly impact a patient's quality of life. How do we identify these conditions? When are they classified as a true emergency? And how do we treat patients with the notion ...
Episode 106 - Breaking the Case (Pt. 2)
May 04, 2023 12:40 - 45 minutes - 64 MBReviewing 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 be applicable to future scenarios. Occasionally we like to challenge each other, and this episode is no exception. Tune in as Amanda, Dan, and Mike present three real case studies and see if they would approach the same patient differently. We start from "bread and butter" to the complex critically i...
Episode 105 - 10 Things Your Emergency Physician Wants You to Know
March 29, 2023 16:32 - 1 hour - 87.6 MBHave 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 podcast episode, we continue our "10 Things" series with a focus on the emergency department. Our very own Dr. Amanda Humphries, Emergency Physician and Assistant Professor of Emergency Medicine and Emergency Medical Services, leads the discussion. Get CE hours for our podcast episodes HERE! ---------...
Episode 104 - OMI, I Almost Died
March 05, 2023 14:45 - 37 minutes - 53.2 MBMyocardial 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 patient with a myocardial infarction will fit STEMI criteria's paradigm, which has lead to the adoption of a new term: OMI (Occlusion Myocardial Infarction). In this podcast episode, we are joined by our very own Nick Zuber to discuss his recent OMI and why he's able to sit down and talk with us today. ...
Episode 103 - Arrest, ROSC, Repeat
February 06, 2023 15:03 - 52 minutes - 73.7 MBNo 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? Many do not appreciate the fact that the likeliness of re-arrest is high. How can we avoid return of spontaneous arrest by appropriately treating the patient during the peri-arrest phase and subsequently improving quality of life? Tune in to another nugget-filled podcast episode where the team discusse...
Episode 102 - Long and Short of Learning w/Will Wingfield
January 01, 2023 14:41 - 56 minutes - 78.1 MBThe medical industry puts great emphasis on formal education via university and other training programs. Due to financial incentive, these institutions often discourage independent learning despite it usually having a greater impact on patient care quality. For example, paramedics are often non-degree holders, yet they effectively practice medicine on a daily basis as a result of learning via unconventional methods (e.g., podcasts). How much actual value is in formal education? Do we need ...
Episode 101 - Anti-Antibiotics
December 08, 2022 12:38 - 36 minutes - 51.1 MBWhether 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 prehospital environment for open long bone fractures and/or sepsis? When are antibiotics truly indicated? And is that more important than the timing of the antibiotic itself? This podcast is not only "Antibiotics 101", but we also address these important issues. Get CE hours for our podcast episodes ...
Episode 100 - Medical Science Theater 100
November 22, 2022 13:16 - 55 minutes - 77.8 MBIt'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 episodes ever. If you're looking for some light-hearted entertainment including a reflection of how far the platform as come, this is the podcast for you. And one last thing... THANK YOU FOR 5 YEARS! Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavy...
Episode 99 - A Survivor's Story w/Jonathan Godfrey and Chris Stevenson
October 31, 2022 12:43 - 1 hour - 88.7 MBBased on the Crash and Learn 2022 special feature presentation, we sit down with Jonathan Godfrey and Chris Stevenson to discuss the EMS helicopter crash that had a dramatic effect on both of their lives. Jonathan is the sole survivor of a 3-person crew, and Chris was part of his leadership team at the time of the incident. We carefully examine both perspectives and how the rest of us can learn from their experiences. Get CE hours for our podcast episodes HERE! --------------------------...
Episode 98 - Ups and Lows of GI Bleeds
October 13, 2022 11:28 - 44 minutes - 62.3 MBGastrointestinal 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? When is it appropriate to establish an advanced airway? Are gastrointestinal tubes contraindicated even though the patient is vomiting? And what do we do when an esophageal tamponade device is indicated or already in place? Tune in to another podcast episode where we discuss GI bleeds. Get CE hours for...
Episode 97 - How Do You Copy
September 23, 2022 13:15 - 1 hour - 103 MBWhether 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 develop qualities such as professionalism, accuracy, and conciseness that are essential to our reports? And if we experience interpersonal conflict, how do we resolve it? Tune in to this podcast episode where we discuss how to effectively communicate with other medical providers. Get CE hours for our p...
Episode 96 - Airway Management for Airheads w/Dr. Mario Rugna
August 28, 2022 17:19 - 49 minutes - 69.3 MBHaving 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 need to have a different outlook when it comes to addressing the A in ABC's. If you are looking for a comprehensive guide on how to RSI, this is not the episode for you. This is simply a table discussion about appropriate perspective. Get CE hours for our podcast episodes HERE! ------------------...
Episode 95 - Busted Skulls and Myths
August 08, 2022 01:22 - 1 hour - 86.4 MBTraumatic 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 a basic approach is much more important than other therapies that have little evidence to support their effectiveness. In fact, some may even cause harm. Tune in to a podcast where we debunk these common TBI myths. Also, this is the debut episode of Dr. Amanda Humphries-Ventura as an official HLTH t...
Episode 94 - Treat the Heat w/Dr. Justin Hensley
July 15, 2022 13:10 - 1 hour - 101 MBHeat illness is prevalent around this time of year. And compared to hypothermia, hyperthermia has a lower threshold for danger. From heat cramps to heat stroke, clinicians need to know how to identify and treat each stage appropriately. But what contributes to severe heat illness? How do we treat each stage of illness? And how much time do we have before it becomes fatal? From Texan turned Aussie, we are joined by Dr. Justin Hensley, Flight Physician, to discuss. Get CE hours for our podc...
Episode 93 - Performing Under Pressure w/Dr. Stephen Hearns
June 19, 2022 13:53 - 49 minutes - 69.4 MBIt'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, task saturation/fixation, time pressure, negative team dynamics, and poor communication. How can we mitigate these variables, so that we can continue to effectively operate in our respective fields? Join us for an insightful podcast episode where Dr. Stephen Hearns explains how. Get CE hours for o...
Episode 92 - Flight Suit Pat Down (Audio Only)
May 31, 2022 14:22 - 33 minutes - 46.7 MBWhat 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 experiences and training. In this vodcast, Mike shares what he currently carries in his flight suit; from survival gear to medical equipment. Watch the vodcast on our YouTube channel at /heavyliesthehelmet. Brands include: One Shear ER Life Benchmade Foursevens Fisher Space Pen Littman...
Episode 92 - Flight Suit Pat Down
May 31, 2022 14:22 - 33 minutes - 46.7 MBWhat 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 experiences and training. In this vodcast, Mike shares what he currently carries in his flight suit; from survival gear to medical equipment. Brands include: One Shear ER Life Benchmade Foursevens Fisher Space Pen Littmann Nite Ize Doug Fitter Tactical Notepad Covers Sharpie Bi...
Episode 91 - Immobi-Lies w/Dr. Mike Hudson
April 30, 2022 17:06 - 38 minutes - 54 MBMores 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 EMS agencies to Level 1 tertiary centers, cervical collars and long spine boards (LSB) remain a "standard" predicated on a lack of evidence. What evidence DO we have regarding spinal immobilization? And how should we restrict spinal movement of polytrauma patients based on that evidence? Tune in to anot...
Episode 90 - The Key to Ketoacidosis
April 15, 2022 13:47 - 41 minutes - 57.5 MBDiabetic 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 shock, acute respiratory failure, and even cerebral herniation. What are the physiological differences behind DKA verses HHS (Hyperglycemic Hyperosmolar Syndrome)? What are some simple methods to identify DKA in the field? How do we effectively treat DKA? And how should we monitor our interventions...
Episode 89 - Para-Lies
March 30, 2022 11:23 - 53 minutes - 73.7 MBThere 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 appropriately administer them? How do we accurately monitor these patients? And how do we reverse the effects of NMBAs? Tune in to another pharmacologically driven podcast where we draft our EM pharmacist friend, Chase Turner, to discuss. Get CE hours for our podcast episodes HERE! --------------------------...
Episode 88 - Closing the Blood Gates
March 08, 2022 12:56 - 59 minutes - 137 MBThe 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 reversal in the presence of life-threatening hemorrhage. How do we choose the most appropriate agent based on which step of the coagulation cascade that it antagonizes? And when is it time to pull the trigger on doing so? In this podcast episode, we discuss this intense topic. Get CE hours for our podcas...
Episode 87 - The Lesser Evil Overdose w/Dr. Arne Skulberg
February 17, 2022 20:15 - 50 minutes - 117 MBWhich 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 joined by Dr. Arne Skulberg, anesthesiologist and lead author, to discuss his recently published RCT comparing intranasal with intramuscular naloxone. We highlight naloxone dose discrepancies and the pitfalls surrounding intravenous administration of it. Get CE hours for our podcast episodes HERE! ----...
Episode 86 - Pilot Down But Not Out w/Wade Dunford & Scott Davis
January 31, 2022 15:15 - 1 hour - 175 MBAn 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 training and capabilities do you have to revive the pilot and/or get the aircraft on the ground? Do some Controlled Flight Into Terrain (CFIT) incidents actually involve an incapacitated pilot? In this podcast episode, we are joined by Pilot Wade Dunford and Flight Paramedic Scott Davis to discuss th...
Episode 85 - A Great First Compression w/Dr. Per Olav Berve
January 13, 2022 11:46 - 53 minutes - 123 MBTransport 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 maintain chest compression quality. However, such transports have inherent pitfalls to both patient and provider safety. This is a poorly studied field of our practice and no clear consensus for how this should be done exists. In this podcast episode, we are joined by Dr. Per Olav Berve to discuss the p...
Episode 84 - VAD Max w/Allen Wolfe
December 16, 2021 14:41 - 56 minutes - 130 MBVentricular 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 where Allen Wolfe clarifies the confusion and gives us the maximum amount of knowledge we need to succeed while taking care of these patients. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagra...
Episode 83 - A Few Good Mentors w/Adam Tresidder & Shane Turner
November 10, 2021 14:01 - 45 minutes - 104 MBIf "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 yourself and your practice. Join us from AMTC21 where we discuss the importance of this arrangement with our close friends and fellow mentors, Adam Tresidder and Shane Turner. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @he...
Episode 81 - Thyroid Storm Chaser w/Chase Turner
October 12, 2021 15:00 - 43 minutes - 101 MBThyroid 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? And how do we treat a patient who is refractory to conventional therapy? Joined by EM pharmacist, Chase Turner, we discuss all things hyperthyroidism in this podcast episode. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook ...
Episode 80 - Resus Kung Fu w/Dr. Michael Lauria
September 25, 2021 12:08 - 54 minutes - 126 MB"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 cognitive abilities and technical skills? And what role does stress inoculation play in training? Join us and Dr. Michael Lauria in this podcast episode where we answer these questions. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet...
Episode 79 - Medicine in the Wild w/David Fifer
September 05, 2021 14:51 - 1 hour - 153 MBHave 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 emergency medical and SAR technicians. From first aid to critical care, in this podcast episode, we discuss who is coming, what their capabilities are, and how David Fifer is trying to change that model. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitt...
Episode 78 - Eating Our Humble Pie (BaSICS Trial)
August 19, 2021 11:32 - 25 minutes - 58.7 MBSometimes, 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 Trial, and how it affects our practice in regard to balanced fluid resuscitation. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet YouTube /heavyliesthehelmet Website heavylie...
Episode 77 - My First Crush w/Chris Stevenson
August 07, 2021 12:25 - 44 minutes - 103 MBThough 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, Chris Stevenson, to discuss the "why". We highlight the pathophysiology behind re-perfusion injury and pre- and post-treatment options. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavylie...
Episode 76 - Pressure to Intubate w/Jon Inkrott
July 15, 2021 14:29 - 48 minutes - 112 MBHow 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? And what critical decision-making tools do you utilize when escalating to intubation? In this podcast episode, we are joined by Flight Respiratory Therapist, Jon Inkrott, to answer those questions and more. Get CE hours for our podcast episodes HERE! --------------------------------------------...
Episode 75 - Door to Balloon and in Between w/Dr. Adam Gottula & Dr. Trevor Skrobut
June 27, 2021 23:26 - 1 hour - 148 MBManaging 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 interventions. In this podcast episode, we are joined by Dr. Gottula and Dr. Skrobut to discuss timely management of AMI's, when coronary intervention (PCI) is indicated, and what medications we should consider to achieve maximal medical management of a patient suffering an AMI in 2021. Get CE hours for our...
Episode 74 - These Aren't the Labs You're Looking For
June 04, 2021 11:11 - 41 minutes - 96.3 MBThere 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, we discuss sensitivity versus specificity, define some of the most common labs and how to avoid tunnel vision when it comes to your clinical interpretation. Get CE hours for our podcast episodes HERE! ------------------------------------------------ Twitter @heavyhelmet Facebook @heavyliesth...
Episode 73 - Coming in Third w/Dr. Zaf Qasim
May 13, 2021 13:34 - 57 minutes - 132 MBTaking 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 normal physiologic changes related to pregnancy ABNORMAL in the third trimester? How do we determine if the pregnant patient is sick or not sick? And how do you change your treatment based on these findings? Tune in as we sit down with Dr. Zaf Qasim to address these important questions. We also touch o...
Episode 72 - The Business of Medicine w/Chris Smetana
April 26, 2021 15:20 - 1 hour - 147 MBHas 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, finances play a significant factor in decision-making. How do we maintain balance between profit and patient care? How do we bridge the gap between leadership and staff members? Tune in to this brutally honest episode where we sit down with Chris Smetana, former Flight Medic and CEO of IA MED, and our ver...
Episode 71 – Chicken, Starfish & Cat Scans (Audio Only)
April 08, 2021 23:32 - 55 minutes - 128 MBDue to the popularity of Episode 68 - X-Ray Vision, we've decided to extend our radiology series and focus on computerized tomography (CT) scans. Head CT scans, specifically, are often viewed by emergency and transport clinicians when patients require tertiary neurovascular services. Tune in to another visually-guided episode as we discuss this extremely important topic, providing ways to easily interpret the various forms of intracranial hemorrhages with some additional findings that you ma...
Episode 71 - Chicken, Starfish & Cat Scans
April 08, 2021 23:24 - 55 minutes - 636 MB VideoDue to the popularity of Episode 68 - X-Ray Vision, we've decided to extend our radiology series and focus on computerized tomography (CT) scans. Head CT scans, specifically, are often viewed by emergency and transport clinicians when patients require tertiary neurovascular services. Tune in to another visually-guided episode as we discuss this extremely important topic, providing ways to easily interpret the various forms of intracranial hemorrhages with some additional findings that you ma...
Episode 70 - A Mind-Blowing Case Study (Presentation)
March 24, 2021 16:55 - 25 minutes - 35.9 MBSome 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 mindful of cerebral perfusion pressure and how to optimize it effectively. In this podcast episode, we provide you with the recording of Bryan's presentation from ICON (IA MED Conference Online) 2021. After introducing a case study, he breaks down the various neuro assessment techniques that can be use...