Heavy Lies the Helmet

Episode 132 - Prolonged Flight Care w/Dr. Tim Hurtado & Brett Weiner (Big Announcement)

Aug 18, 2025
Brett Weiner, a flight paramedic and chief training officer at Anyone Not Ready, and Dr. Tim Hurtado, an emergency physician and EMS director, tackle the challenges of prolonged field care in critical situations. They discuss the adaptability required when faced with resource limitations and the importance of realistic training. The conversation highlights their innovative new course aimed at preparing medical professionals for real-life emergencies, using simulated patients to enhance learning. Proactive patient care and effective decision-making strategies are key themes.
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ANECDOTE

Training Silo Caused A Shock

  • Brett described training gaps after observing SWAT medics where tactics and medicine were trained in silos.
  • He recalled a rifle strike turning a non-airway patient into one needing urgent airway care.
INSIGHT

Austere Care Is Everywhere

  • Austere medicine occurs anytime you lack needed resources, not just in wilderness settings.
  • Brett Weiner says austere care can be an ambulance stuck in a snowdrift or a hospital after a hurricane.
ADVICE

Practice Infusion Without Pumps

  • Prepare to deliver titratable infusions without pumps by practicing manual calculations and drip-rate skills.
  • Mike Boone warns modern tech can handicap basics like drops-per-minute dosing when pumps fail.
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