Heavy Lies the Helmet

The podcast dives into the rising importance of Point of Care Ultrasound (POCUS) in trauma care. It examines real case scenarios, questioning if POCUS lives up to its reputation in emergency settings. Insights on diagnosing undifferentiated shock and fluid management through IVC analysis are shared. The conversation humorously highlights critical thinking in urgent situations, especially dealing with women of childbearing age. Lung ultrasound's vital role in assessing traumatic injuries and respiratory distress is also discussed, showcasing its impact on swift decision-making.

Rick Maricle, an EMS professional and former canine handler with expertise in tactical medicine, joins George Tarver III to discuss the critical aspects of canine care in emergency services. They explore the complexities of establishing canine programs, including transport challenges and legal frameworks. The conversation reveals a surprising focus on heat-related injuries in police canines and underscores the importance of training for handlers. They advocate for stronger community involvement and better resources to elevate canine first aid practices.

Mike Boone, an expert in critical care, shares his insights on managing hypertension, especially in complex hospital settings. He discusses the often-overlooked issue of asymptomatic hypertension and the risks of unnecessarily treating it. The conversation shifts to the importance of personalized treatment rather than strict numeric targets, drawing parallels with blood glucose management. Boone also touches on challenges in emergency medicine, emphasizing the prioritization of underlying causes and the need for nuanced decision-making regarding patient care.

Delve into the intriguing world of preoxygenation, where the hosts debate new approaches to non-invasive positive pressure ventilation versus traditional methods. They unpack the PREOXI Trial's findings and whether they can shift current practices. Join a lively discussion on the complexities of emergency airway management, highlighting the effectiveness of devices like i-gel, and explore the benefits of transesophageal echocardiography in cardiac care. Listeners will also learn about balancing scene time versus transit time in emergency responses.

Dive into the complexities of cardiac arrest management and discover that not all interventions are one-size-fits-all. Explore innovative techniques like dual sequential defibrillation and the critical role of ultrasound in assessing patient conditions. Learn about the challenges faced when using the Lucas device in flight services and the need for tailored strategies during resuscitation. Hear real-life experiences that underline the evolving nature of emergency care and the importance of thinking outside conventional protocols for better patient outcomes.

Listen to Austin Wingate, a transport specialist, discuss the risks and challenges of interfacility transfers in EMS. Topics include prioritizing ground safety, managing transfers in winter weather, enhancing patient outcomes, addressing provider fatigue, and improving communication for safe and efficient transfers.

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 hypo/hypernatremia. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com 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. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

A deep dive into the complexities of angioedema, covering diagnosis and treatment of IgE/Histamine-mediated and Bradykinin-mediated types. The discussion includes managing difficult airways, prompt epinephrine administration in anaphylaxis, and strategic medication use in emergencies. Emphasizing the importance of recognizing triggers and implementing life-saving measures in high-stress scenarios.

Will Heuser, a Flight Paramedic, Pharmacist, Toxicologist, and Professor, discusses methylene blue's benefits beyond treating methaemoglobinaemia. Topics include its role in septic shock, pathophysiology of distributive shock, pharmacodynamics, pharmacokinetics, and impact on endothelial relaxation. The podcast explores methylene blue in shock management, vasopressor requirements, overdose treatment with high dose insulin, and admiration for mentor Sean Nord.

Though 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 place on a regular basis. Why? Because operating in a vacuum can lead to bad decision making. Our new "Around the World" series attempts to mitigate this by interviewing prehospital and intrahospital disciplines from around the world and finding out how they do things, whether for better or for worse when compared to the United States. We begin our series with our neighbors to the south, Mexico. Daniel Peñaflor, Flight Paramedic, joins us to discuss prehospital operations in Guanajuato City. Interestingly enough, you will find out that they are not too dissimilar from us. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com 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. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com