show episodes
 
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 appli ...
 
G.O. Get Outside: The Podcast is a radio-style interview show for people who want to spend more time outdoors. Each episode of G.O. delves into the outdoor lifestyle of some everyday person who probably has more in common with you than you think. Whether you are BASE jumping off a flying unicorn or hiking around your neighborhood in between diaper changes, you have a place here.
 
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show series
 
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 rule…
 
Due to 'The Big C', ECHO Yacht Club was cancelled... but life goes on, and so does our podcast. We decided to turn lemons into lemonade and have our friend and emergency medicine powerhouse Dr. Sal Rezaie join us for a discussion based on what-would-have-been our Yacht Club presentation. Everyone carries a card that says they know how to manage tac…
 
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 …
 
This could quite possibly be one of our most important podcast episodes to date featuring one of the most interesting persons in our industry. 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 t…
 
This could quite possibly be one of our most important podcast episodes to date featuring one of the most interesting persons in our industry. 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…
 
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 onl…
 
Named for the beloved naturalist, the John Muir Trail (JMT) traces 213ish miles through California’s spectacular Sierra Nevada mountains. Jason spent 26 days on the JMT in 2019. These are his daily musings and listener’s stories of joy, awe, hardship, frigid lakes, never-ending passes, thunderstorms, food, animals, friendships, trail culture, and t…
 
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.…
 
Sean Kamp sought a life of business suits and politics. As his career began to flourish, he was faced with a decision: a promotion or the Appalachian Trail. Thru-hiking would lead Sean to reassess what he wanted from life and his place in society. Sean and Jason spoke one night about the intricacies of thru-hiking, traversing the outdoor industry, …
 
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.…
 
Emily McCarthy grew up on the beaches and sandlots of Florida where running became a lifelong passion. Adulthood would carry her across the globe working with volunteer groups and the CIA. Now, she and her husband run GORUCK, a group rooted in special forces principles where veterans and civilians come together to build active communities. Emily an…
 
North Carolina native John Gage grew up exploring the woods and his mechanical predilections. His drive to understand things lead him into the manufacturing industry. An experience with hypothermia while backpacking shifted his perspective on gear culminating in the founding of Appalachian Gear Company. He and Jason sat in a windy AT shelter one af…
 
Titrating intravenous drips is a source of contention for many providers. This is, in part, due to a wide range of approaches depending on the patient's condition. Further attribution is based on each individual's comfort level and respective professional background (e.g. ICU versus EMS). But what does the literature say regarding this topic? In th…
 
Climber Taylor Carpenter taught herself to sew and started a business—Static Climbing—in her bedroom. Dedication, serendipity, and contributions from others would help it grow into a successful operation serving a global climbing market. Taylor and Jason sat in a yard in Bell one evening discussing her competitive athletic youth, her penchant for i…
 
Steven Reinhold wants his adventures to make an impact. Early experiences with Big City Mountaineers shifted his pursuits towards adventure philanthropy. He balances his time with guiding, brand ambassadorship, volunteer work, and leading cleanup initiatives with the Trashtag Project. He and Jason spoke in a windy AT shelter one afternoon about his…
 
With the rising number of COVID-19 patients, many of our listeners have requested additional information regarding transporting patients in the prone position. Despite refractory hypoxemia, many of these patients are benefiting from the prone position. Based on Episode 17 of the podcast, we updated our information in presentation-form. The followin…
 
Lady Crush Crew is a climbing community devoted to empowering and enabling women to climb together (and crush together). Initially an Instagram group to connect women in San Francisco, LCC has expanded across the U.S. Jason met with three group leaders one afternoon to discuss the history of LCC, the impact it has had, why women love climbing toget…
 
Recently, Bryan was asked to present at a local EMS conference. The majority of the audience was ground personnel and student nurses, so he decided to present the why and how of measuring waveform capnography. EtCO2 truly should be the 5th vital sign, so we hope you appreciate this recording. ------------------------------------------------ Twitter…
 
Ted Mattison, also known as Ranger Ted, is an actor and outdoor guide in Los Angeles. Born in Minnesota, his youth involved lakes, canoes, and outdoor adventures fueled by encouraging adults. Thankful for the experiences made possible by outdoor mentors, he strives to be that mentor for others via his brand, Wonder Outside. Ted and Jason spoke one …
 
Due to a recent outbreak, influenza and COVID-19 have been in the forefront of people's minds. Influenza, in particular, continues to affect all age groups despite it being late in the typical season. In this podcast episode, we discuss the entire course of this disease process; from positive nasopharyngeal swab to downstream ARDS and the complex v…
 
San Francisco native Kristin Tieche loves bats and bicycles. Both of these passions find their way into her work as a filmmaker: be it a feminist horror film on two wheels, an insightful series about cycling visionaries, or a documentary reflection on the lives of bats. Kristin and Jason spoke one afternoon about these pursuits, her history with na…
 
In this podcast episode, we are joined by Dr. Deep Sharma, Interventional Pulmonologist, to answer listener questions in a rapid fire format. We cover everything from modes of ventilation to respiratory decompensation to snorting sugar dust. You asked. He answers. ------------------------------------------------ Twitter @heavyhelmet Facebook @heavy…
 
Nick Watts works for Occupation Wild helping others find adventurous work in the outdoor industry. Seeking adventure is his calling whether hitchhiking across the South Pacific on sailboats, living in a van surfing the breaks of New Zealand, or breaking bones on a mountain bike. He and Jason met one morning at San Onofre Beach to discuss his past, …
 
When not dressed as a cow for the Butter and Eggs Parade, a young EC spent her time hiking, swimming, and camping. Serendipitous moments in her adulthood introduced her to new passions: caving, canyoneering, and diving. She and a sick Jason met one morning to discuss her experiences in the outdoors, her work as a water quality scientist for Heal th…
 
Proper fluid management in burns is critical to survival. But what happens when we administer too little or too much fluid therapy? In this podcast episode, we are joined by Chris Stevenson to discuss epidemiology and appropriate resuscitation for the prehospital provider. Our discussion includes an assessment of past and current formularies and wh…
 
Rowan Smith is a personal trainer for trekkers and mountaineers in Sydney, Australia. In a world bereft of quality training for adventure athletes, he aims to create programs targeting their specific needs. Rowan and Jason spoke over Skype one day about the intricacies of adventure training, his history in the outdoors, and why you shouldn’t sleep …
 
Suction-assisted laryngoscopy and airway decontamination (SALAD) was created to assist with the decontamination of a massively soiled airway. We sit down with flight nurse, researcher, and lead author Matt Jensen to discuss this technique and his most recent Air Medical Journal study aimed at investigating its usefulness in training prehospital eme…
 
One of the hurdles many struggle to overcome when embarking on outdoor adventures is dealing with discomfort—be it psychological, emotional, or physical. As we head into 2020, team Chick-a-Boom—Cyndi, Marilee, and Saveria—are here to discuss why embracing your discomfort can lead to great rewards and a richer life. LINKS: alltrails.com Rei.com/lear…
 
The Annual Sim Cup at the Air Medical Transport Conference (AMTC) is a prestigious event that gathers flight clinicians from all over the world to compete. Jason Peng (ED and Flight NP) and Ellen Parsley (Flight Nurse) of University of Cincinnati Air Care joined forces and took home the 1st place trophy at AMTC19. We use this opportunity to sit dow…
 
Lee Trebotich grew up playing barefoot in the summers along the Mississippi coast and chasing winters in Colorado. His careers have taken him across the U.S. in the science, education, and outdoor industries ultimately landing him in Asheville, North Carolina. He and Jason spoke one afternoon about his passions for mountains, ice climbing, and 100%…
 
Experiences as a child and in college placed Liz Thomas on a path that has lead her to an adulthood exploring long distance trails in the backcountry and in urban areas. She is recognized as an authority on hiking and is the author of Long Trails: Mastering the art of the Thru-Hike. She and Jason spoke one morning about her experiences hiking long …
 
RSI, chemical restraint, or physical restraint? In this podcast episode, we are joined by ED and Flight Nurse Nyssa Hattaway at AMTC19 to discuss medical management and aircraft safety considerations surrounding the patient with acute agitation, excited delirium, and/or drug-induced psychosis. We also touch on Droperidol; an old drug that is findin…
 
Washington native Chef Corso was introduced to the natural world by a group of high school friends. He quickly embraced a multitude of adventure sports, especially backpacking, but was always underwhelmed by the camp meals. A lifelong cook, Chef Corso founded MONTyBOCA, an online community dedicated to getting everyone to eat better in the outdoors…
 
Making her second debut on the podcast, Dr. Cynthia Griffin joins us at AMTC19 to discuss the utility of ultrasound/POCUS. Cynthia presented on this topic and highlighted its indication when following your XABC's (Hemorrhage, Airway, Breathing, Circulation) exam. Are you currently using ultrasound in your practice? If not, are you actively trying t…
 
Sara Al Awadhi is a lawyer from the UAE. Allen Kenneth Schaidle is an academic from the Midwest United States. A chance encounter and a passion for climbing brought them together. Now married, they explore the UAE establishing new bouldering areas. Sara and Allen spoke with Jason one morning about the culture and ethics of the Middle East, the deli…
 
As an air medical provider, our bread and butter is interfacility transports. Whether at the referring or receiving facility, we deal with Intensivists on a regular basis. What are their expectations? How can we provide the best care for our ICU level patients while simultaneously pleasing the facility staff? Our resident nocturnal Intensivist, Dan…
 
Daisy Martinez has struggled with depression throughout her life. A day hike with a friend to Mount Baldy would unexpectedly lead her down a path to ultra running. This newfound passion gives her a renewed sense of purpose, goals to achieve, builds confidence, and helps manage her depression. Daisy and Jason met one morning to discuss her history w…
 
In our final Guatemala Educational Aircrew Retreat (GEAR) 2019 podcast episode, we summarize the overall experience. G.E.A.R. was memorable, to say the least. It resulted in currency, competency, and confidence through camaraderie and collaboration. But what do Black Wolf Special Helicopter Operations, RED MED, and HeliSOS Servicios Medicos mean? W…
 
Part 1 is on our other podcast platform, After the Call. In this podcast episode, we are again joined by survival experts Chris “Gibbo” Gibson and Jimmy “Jungle” McSparron to discuss the concept of tacticool. This common expression is regularly featured on social media when individuals inquire about various gear options for one’s person. We discuss…
 
With kick off our Guatemala Educational Aircrew Retreat (GEAR 2019) series with an open forum. Located at Guatemala's aviation training center, we sat in a mock airplane, pulled out the lapel mics, and decided to discuss the broad topic of survival. The morning after our jungle excursion inspired a multitude of discussions ranging from fire to surv…
 
In this podcast episode, we are joined by Dr. Bill Hinckley to discuss advanced practice models in HEMS. Bill is a rare breed that defines "passion" in HEMS, to say the least. His experience coupled with being an overwhelmingly nice guy led to a lengthy discussion. We did not want to cheat your experience, so we split the podcast episode into two s…
 
Is the Registered Nurse/Paramedic crew configuration optimal for HEMS? In this podcast episode, we are joined by Dr. Bill Hinckley to discuss advanced practice models. Bill is a rare breed that defines "passion" in HEMS, to say the least. His experience coupled with being an overwhelmingly nice guy led to a lengthy discussion. We did not want to ch…
 
In this podcast episode, we are joined by Flight Physician Mike Abernethy to discuss the importance of high fidelity, simulation training. We discuss common pitfalls of simulation learning, EMS education, and highlight tips and tricks for building successful moulage; the art of applying mock injuries for the purpose of training emergency response t…
 
Armchair Air is at it again with this is the second installment of the "Breaking the Case" series where we discuss case studies related to previously covered topics. Even though some content from Episode 33 - P.E. MERGENCY is reviewed, we recommend listening to it before proceeding. It will provide the foundation needed to understand the concepts t…
 
Earlier this year, we were asked to present at a local critical care conference. Due to the recent release of the 1-hour bundle, this was a timely discussion regarding pre-hospital sepsis. We touched on various definitions, diagnostics, treatments, and the ongoing controversy surrounding the Surviving Sepsis Campaign. Since we try to record most of…
 
In 2010, Jason and Steven Calcote embarked on the week long journey of hiking Vancouver Island’s beloved West Coast Trail. Four days of non-stop rain, swollen rivers, and numerous obstacles would create a seminal event in their outdoor experiences. This is their story of accepting hardship and chasing epiphanies. Links: Parks Canada WCT: https://ww…
 
Previous guest (G.O. #16) Alden Anderson is 3 years into a 6 month trip across Europe and Asia. He and Jason spoke over Skype about how travel changes a person, why exploring culture is as important as exploring nature, the human connections photography can bring, and the unexpected revelations life as a nomad has brought. Links: www.instagram.com/…
 
Ladies and gentlemen, welcome to the main event. This long awaited, highly anticipated match-up is finally here. Dan received feedback, after giving a recent talk, that we wanted to address in a fun way. What causes peri-intubation hypotension and death? Is positive pressure ventilation (PPV) or induction agents the primary contributing factor? Tun…
 
Cyndi Wyatt grew up running along the beaches of Florida, practicing aerobics, and eventually modeling. Running is what would stick with her, especially as it helped her cope with the aftermath of an abusive marriage. Now Cyndi competes as an ultrarunner, organizes outdoor events, and guides others. She and Jason met one rainy day to discuss the pr…
 
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