Heavy Lies the Helmet
Heavy Lies the Helmet
Mike & Bryan Boone
Heavy Lies the Helmet, LLC is an education company comprised of industry leaders still actively working in the fields of pre-hospital critical care and search and rescue. Through an IA MED partnership, we are an accredited podcast and blog 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 intrahospital discipline working in an emergency 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.
Episode 65 - One Hiring to Rule Them All (Graduation Presentation)
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 highlights positive and negative behaviors, systematically addressing incompetence, and how to ultimately get off orientation successfully.
Nov 15
16 min
Video
Episode 64 - Trapped Inside: Obstructive Lung Diseases (ASTNA Webinar)
With the upcoming respiratory season, many of us will be caring for an increased number of pediatric and adult patients with pulmonary disease processes. In this webinar, Mike, Bryan, and Jordan focus on status asthmaticus and COPD exacerbation. They discuss etiology, diagnostic criteria, and the latest evidence-based treatment ranging from medication administration to mechanical ventilator management.
Nov 6
1 hr 1 min
Video
Episode 63 - Flight Medicine Rules w/Chris Stevenson
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 over the years, we find ourselves giving or receiving advice related to flight medicine. As our years of experience have accumulated, so has the length of our rules and mantras related to flying. From military to mentors to pop culture, these are our 'Rules for Surviving Flight Medicine'.
Oct 8
58 min
Episode 62 - Fast Rhythms, Furious Management w/Salim Rezaie (Bonus Feature)
Everyone carries a card that says they know how to manage tachydysrhythmias. But what happens when your interventions don’t work? In this podcast episode, we focus on recent evidence suggesting alternate means of management when the patient remains refractory to conventional therapy. Though controversial, we will NOT be spewing ACLS algorithms. It’s time to live your life a quarter of a milligram at a time.
Sep 14
1 hr 17 min
Episode 61 - Down Under Dynamics w/Cliff Reid
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 Reid to the show to discuss his and Sydney HEMS' approach to all of these areas. Tune in and learn how to be a high level transport provider from one of the best in our industry.
Aug 25
1 hr 4 min
Episode 60 - Save Your Life w/Randy Mains (Part 2)
What is the opposite of complacency? And how do you know if you are? In this podcast episode, we are joined by Randy Mains, pilot and safety expert, to discuss all things Crew Resource Management (CRM) and the human factors that kill our colleagues. We also discuss how you can arm yourself with the knowledge to make good decisions, break a link in the chain, and ultimately save your life. The discussion was so in-depth, that we decided to separate it into two parts. This is Part 2.
Aug 6
42 min
Episode 59 - Save Your Life w/Randy Mains (Part 1)
What is complacency? And how do you know if you are? In this podcast episode, we are joined by Randy Mains, pilot and safety expert, to discuss all things Crew Resource Management (CRM) and the human factors that kill our colleagues. We also discuss how you can arm yourself with the knowledge to make good decisions, break a link in the chain, and ultimately save your life. The discussion was so in-depth, that we decided to separate it into two parts. This is Part 1.
Jul 30
47 min
Episode 58 - Going With the Flow (Presentation)
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, especially with the COVID-19 outbreak, this has become an effective means of O2 delivery in all patient groups. With its increased frequency of use, it is only natural that we as transport providers will adopt this therapy. Tune in to Mike's ICON 2020 presentation regarding this topic.
Jul 15
21 min
Video
Episode 57 - Weight and Calculate w/Lynn Lamkin
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. We also breakdown when true body weight (TBW), ideal body weight (IBW), lean body weight (LBW) or adjusted body weight (ABW) is a more appropriate option.
Jun 30
51 min
Episode 56 - Where There's Smoke, There's Injury w/Chris Stevenson & Michael Feldman
You asked. We answered. In a follow-up to our burn resuscitation podcast episode, we are joined by Chris Stevenson and his burn center Medical Director, Dr. Mike Feldman, to discuss inhalation injuries. Tune in as we discuss the mechanism surrounding inhalation injuries and how to treat them affectively based on anatomical location and poison type.
Jun 15
42 min
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