Latest Acnp Podcast Episodes
Episode 120 - Sorry, We Are Closed: Interfacility Transfers w/Austin Wingate
Heavy Lies the Helmet - June 29, 2024 16:24 - 1 hour ★★★★★ - 238 ratingsInterfacility 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, these transfers can result in unnecessary risk for crew members and patients. Specifically, weat...
Episode 119 - Losses and Gains: Antidiuretic Hormone
Heavy Lies the Helmet - May 06, 2024 16:27 - 43 minutes ★★★★★ - 238 ratingsAntidiuretic 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 from the posterior pituitary gland. In conditions such as Diabetes Insipidus (DI) and Syndrome o...
Episode 118 - Trigger Warning: Angioedema
Heavy Lies the Helmet - March 25, 2024 14:46 - 46 minutes ★★★★★ - 238 ratingsAngioedema 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 ad...
Episode 117 - Dye or Die: Methylene Blue w/Will Heuser
Heavy Lies the Helmet - February 28, 2024 14:20 - 50 minutes ★★★★★ - 238 ratingsWhen 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 alon...
Episode 116 - Around the World: HEMS in México w/Daniel Peñaflor
Heavy Lies the Helmet - January 27, 2024 20:44 - 58 minutes ★★★★★ - 238 ratingsThough 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 ...
Episode 115 - Me, My Self-Loading Baggage, and I w/Miles Dunagan and Brett Reeder
Heavy Lies the Helmet - December 20, 2023 18:12 - 1 hour ★★★★★ - 238 ratings"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 ...
Episode 114 - You Train Ukraine w/Kevin Collopy and Brock Jenkins
Heavy Lies the Helmet - November 30, 2023 20:54 - 37 minutes ★★★★★ - 238 ratingsThe 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 emerg...
Episode 113 - Being B.R.A.S.H. When Treating Bradycardia w/Dr. Kate Connelly and Jake Miller
Heavy Lies the Helmet - November 15, 2023 15:31 - 30 minutes ★★★★★ - 238 ratingsB.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 ...
Episode 112 – Acid Base Trifecta (Presentation)
Heavy Lies the Helmet - October 31, 2023 20:39 - 56 minutes ★★★★★ - 238 ratingsDan 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 h...
Episode 111 - Critical Comfort Care w/Brianna Fields
Heavy Lies the Helmet - October 18, 2023 22:02 - 47 minutes ★★★★★ - 238 ratingsAs 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 emergen...
Episode 110 - The Truth About A-Fib
Heavy Lies the Helmet - September 23, 2023 12:16 - 43 minutes ★★★★★ - 238 ratingsAtrial 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. ...
Episode 109 - 10 Things Your Gastroenterologist Wants You to Know w/Dr. Josh Peck
Heavy Lies the Helmet - September 05, 2023 16:01 - 46 minutes ★★★★★ - 238 ratingsContinuing 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...
Episode 108 - 10 Things Your PEM Physician Wants You to Know w/Dr. Dominique Diggs
Heavy Lies the Helmet - June 30, 2023 19:33 - 1 hour ★★★★★ - 238 ratingsPediatric 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 ca...
Episode 107 - Vascular Disaster
Heavy Lies the Helmet - May 25, 2023 13:58 - 1 hour ★★★★★ - 238 ratingsVascular 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, do...
Episode 106 - Breaking the Case (Pt. 2)
Heavy Lies the Helmet - May 04, 2023 12:40 - 45 minutes ★★★★★ - 238 ratingsReviewing 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 ...
Episode 105 - 10 Things Your Emergency Physician Wants You to Know
Heavy Lies the Helmet - March 29, 2023 16:32 - 1 hour ★★★★★ - 238 ratingsHave 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 D...
Episode 104 - OMI, I Almost Died
Heavy Lies the Helmet - March 05, 2023 14:45 - 37 minutes ★★★★★ - 238 ratingsMyocardial 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...
Episode 103 - Arrest, ROSC, Repeat
Heavy Lies the Helmet - February 06, 2023 15:03 - 52 minutes ★★★★★ - 238 ratingsNo 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 sp...
Episode 102 - Long and Short of Learning w/Will Wingfield
Heavy Lies the Helmet - January 01, 2023 14:41 - 56 minutes ★★★★★ - 238 ratingsThe 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-...
Episode 101 - Anti-Antibiotics
Heavy Lies the Helmet - December 08, 2022 12:38 - 36 minutes ★★★★★ - 238 ratingsWhether 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 indicate...
Episode 100 - Medical Science Theater 100
Heavy Lies the Helmet - November 22, 2022 13:16 - 55 minutes ★★★★★ - 238 ratingsIt'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 platf...
Episode 99 - A Survivor's Story w/Jonathan Godfrey and Chris Stevenson
Heavy Lies the Helmet - October 31, 2022 12:43 - 1 hour ★★★★★ - 238 ratingsBased 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...
Episode 98 - Ups and Lows of GI Bleeds
Heavy Lies the Helmet - October 13, 2022 11:28 - 44 minutes ★★★★★ - 238 ratingsGastrointestinal 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 t...
Episode 97 - How Do You Copy
Heavy Lies the Helmet - September 23, 2022 13:15 - 1 hour ★★★★★ - 238 ratingsWhether 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? A...
Episode 96 - Airway Management for Airheads w/Dr. Mario Rugna
Heavy Lies the Helmet - August 28, 2022 17:19 - 49 minutes ★★★★★ - 238 ratingsHaving 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...
Episode 95 - Busted Skulls and Myths
Heavy Lies the Helmet - August 08, 2022 01:22 - 1 hour ★★★★★ - 238 ratingsTraumatic 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 thei...
Episode 94 - Treat the Heat w/Dr. Justin Hensley
Heavy Lies the Helmet - July 15, 2022 13:10 - 1 hour ★★★★★ - 238 ratingsHeat 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 tre...
Episode 93 - Performing Under Pressure w/Dr. Stephen Hearns
Heavy Lies the Helmet - June 19, 2022 13:53 - 49 minutes ★★★★★ - 238 ratingsIt'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 ...
Episode 92 - Flight Suit Pat Down
Heavy Lies the Helmet - May 31, 2022 14:22 - 33 minutes ★★★★★ - 238 ratingsWhat 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; f...
Episode 92 - Flight Suit Pat Down (Audio Only)
Heavy Lies the Helmet - May 31, 2022 14:22 - 33 minutes ★★★★★ - 238 ratingsWhat 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; f...
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