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...
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Episode 122 - Stay Positive When Preoxygenating (PREOXI Trial)
Heavy Lies the Helmet
The principles of preoxygenation and passive oxygenation should be familiar to any experienced intubator. Best practice recommends the use of a nasal cannula in conjunction with either a non-rebreather mask or bag-valve mask (BVM) to prevent hypoxemia during the apneic phase of Rapid Sequence Intubation (RSI). In the PREOXI Trial, the authors pushed this concept further, questioning whether non-invasive positive pressure ventilation (NIPPV) might be more effective than these formally mentioned adjuncts. In this podcast, we dive into the strengths and weaknesses of the trial and explore whether...
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Episode 121 - Outside the Box: Cardiac Arrest Management
Heavy Lies the Helmet
Not all cardiac arrests are created equal. Whether the presenting rhythm is asystole, ventricular fibrillation, or PEA, these patients require tailored interventions beyond "blanket" protocol and ACLS/PALS algorithms. When refractory to conventional therapy, the pulseless V-Tach/V-Fib patient, in particular, requires critical thinking "outside the box" in order to gain ROSC (Return of Spontaneous Circulation) and preserve neurological outcomes. What are some of the measures we can consider when presented with these refractory patients? We answer that question in this podcast episode. Get CE...
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Episode 120 - Sorry, We Are Closed: Interfacility Transfers w/Austin Wingate
Heavy Lies the Helmet
Interfacility transfers are not always indicated at the time and place of which they are being requested. Whether it's referring provider misinformation or a lack of advocacy by the transport agency, these transfers can result in unnecessary risk for crew members and patients. Specifically, weather conditions, time of day, crew fatigue, and other important factors are not always considered when blindly accepting these transfers. As the transport specialists, how can we ensure that we are accepting and performing these transports safely? In this episode, Austin Wingate provides a holistic...
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Episode 119 - Losses and Gains: Antidiuretic Hormone
Heavy Lies the Helmet
Antidiuretic hormone (ADH) plays an essential part in the body's osmotic/fluid balance, sodium homeostasis, and blood pressure regulation. This hormone is synthesized in the hypothalamus and released from the posterior pituitary gland. In conditions such as Diabetes Insipidus (DI) and Syndrome of Inappropriate ADH (SIADH), there is a lack of synthesis or over-production of this hormone which results in negative downstream effects. At the request of a podcast listener, we have decided to cover these conditions in this episode. Tune in as we discuss DI (central and nephrogenic), SIADH, and...
info_outlineDoes 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 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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