Episode 132 - Prolonged Flight Care w/Anyone Not Ready (Big Announcement)
Heavy Lies the Helmet
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, Brett Weiner and Dr. Tim Hurtado help us dive into the challenges and realities of prolonged field care in air medical transport. We’ll explore clinical considerations, crew dynamics, and decision-making strategies that can help you maintain high-quality care when time isn’t on your side. We’re also excited to announce our new in-person course in collaboration with Anyone Not Ready. This immersive training...
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Episode 131 - TXA: The Clot Thickens
Heavy Lies the Helmet
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 praised and questioned in trauma and prehospital care. We break down what TXA is, how it works, and the evidence behind its use. From CRASH-2 to CRASH-3, we explore the key studies, the controversies, and the real-world implications. Whether you’re administering TXA in the back of a rig or evaluating its role in your protocols, this episode helps you make sense of when, why, and how TXA might—or...
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Episode 130 - Opinion-Based Medicine w/Mike Carunchio
Heavy Lies the Helmet
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 choice of crystalloids? How are we justifying what professionals are allowed to post on social media? And do we agree with the currently accepted norms? Who better to join us in this discussion than Mike Carunchio of . Diving into these and other controversial topics, we see if our two platforms can come to a consensus in a randomized, uncontrolled conversation. *Strong opinions were involved in...
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Episode 129 - Little Lung Problems w/Nate Brown
Heavy Lies the Helmet
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 that pediatrics are outside the comfort zone of many novice critical care transport providers. In this podcast episode, neonatal/pediatric specialist Nate Brown eases your worries with concise and effective means of diagnostics and intervention. Primarily, we cover croup, bronchiolitis, and asthma disease processes. Get CE hours for our podcast episodes !...
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Episode 128 - Keeping Trauma Close to the Chest
Heavy Lies the Helmet
'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 podcast, we discuss these potentials while focusing on those injuries that are associated with the highest mortality rate. We also discuss why you should think twice before intervening. Get CE hours for our podcast episodes ! -------------------------------------------- Twitter @ Facebook @ Instagram @ Website Email Disclaimer: Heavy Lies the Helmet’s content is for educational...
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Episode 127 - P.R.E.S. Sure
Heavy Lies the Helmet
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 difficult to diagnose unless you are aware of its existence. In this podcast episode, we discuss this infrequent condition and how can you appropriately diagnose and treat it. Get CE hours for our podcast episodes ! -------------------------------------------- Twitter @ Facebook @ Instagram @ Website Email Disclaimer: The views, information, or opinions expressed on the Heavy Lies...
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Episode 126 - Certification Versus Qualification
Heavy Lies the Helmet
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, regardless, how do we work towards obtaining and maintaining qualifications? In this podcast episode, we discuss it all including Dunning-Kruger Effect and Hierachy of Competence. We also delve into teaching strategies that can help newcomers gain their confidence after achieving whatever got them there in the first place. Get CE hours for our podcast episodes !...
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Episode 125 - Breaking the Case: The Point of Ultrasound
Heavy Lies the Helmet
Previously, we recorded a 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 "Breaking the Case" series. We also ask the question, is POCUS really all it's cracked up to be, or should we be re-thinking our approach, particularly in the prehospital setting? Get CE hours for our podcast episodes ! -------------------------------------------- Twitter @ Facebook @ Instagram @ Website Email Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet...
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Episode 124 - Canine Care w/George Tarver III
Heavy Lies the Helmet
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 care just like anyone else that may be ill or injured. Considering that, are you equipped to care for them? If not, how can you successfully start and maintain a K9 program at your agency? Tune in to another podcast to discuss this unique topic, but this time, we are joined by HLTH team member Rick Maricle and his colleague George Tarver III. Get CE hours for our podcast episodes !...
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Episode 123 - To Treat or Not to Treat: Hypertension
Heavy Lies the Helmet
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. Asymptomatic hypertension, in particular, is often benign. In fact, treating asymptomatic hypertension in a patient who a primary medical history of hypertension can harm them. In this podcast, we discuss these adverse effects related to blood pressure physiology, acute versus chronic hypertension, and how you can determine whether anti-hypertensives or other forms of therapy are indicated. Get CE hours...
info_outlineReviewing 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 ill.
Get CE hours for our podcast episodes HERE!
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Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment.
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