Heavy Lies the Helmet

Episode 140 - Beyond the Behavior: A Differential Diagnosis of Agitation

The agitated patient is one of the most challenging encounters in emergency medicine. They may be yelling, fighting, refusing care, or creating an unsafe environment. But

Episode 139 - Don't Listen to Us: Navigating Online Education

FOAMed has revolutionized medical education, but has it also made it easier for bad information to spread? In this podcast episode, we explore the difference between

Episode 138 - Seizing Control w/Skyee Edwards

Seizures demand fast decisions, but the best answers aren't always simple. In this episode, we sit down with Skyee Edwards, a pharmacist, to break down seizure cessation

Episode 137 - Endocarditis: A Change of Heart

In this podcast episode, we dive into the clinical chaos of Infective Endocarditis. It's a disease that can quietly destroy valves before showing its hand. We discuss how

Episode 136 - Bronchoscope of Practice

Airway management gets dangerous. In this episode of the podcast, we explore prehospital bronchoscopy—a true bleeding-edge concept—and where it fits in managing airw

Episode 135 - Giving Patients Room to Breathe w/Melody Bishop (Part 2)

Mechanical ventilation doesn't have to feel like wizardry. In this podcast episode, we strip it back to what really matters—simple mental models, clean decision-making, a

Episode 134 - Giving Patients Room to Breathe w/Melody Bishop (Part 1)

Mechanical ventilation doesn't have to feel like wizardry. In this podcast episode, we strip it back to what really matters—simple mental models, clean decision-making, a

Episode 133 - Tracheostomy: The Neck's Best Thing

Tracheostomies are increasingly common in both prehospital and critical care transport settings, but they come with unique challenges. In this podcast episode, we break d

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

What happens when resources are limited, transport is delayed, or you're forced to manage a critically ill patient far beyond the typical flight window? In this podcast e

Episode 131 - TXA: The Clot Thickens

Tranexamic Acid (TXA) is a lot like hot sauce: People put it on everything — especially for apparent or suspected acute blood loss. In this podcast episode, we dive into

Episode 130 - Opinion-Based Medicine w/Mike Carunchio

Though evidence dictates much of what we do as emergency medical providers, some areas remain open to debate: How are we justifying stroke ambulances, CCT speciality team

Episode 129 - Little Lung Problems w/Nate Brown

Wet or dry. Air in or out. Reactive or obstructive. The possibilities may seem endless when treating the pediatric patient with undifferentiated respiratory distress. It

Episode 128 - Keeping Trauma Close to the Chest

'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 o

Episode 127 - P.R.E.S. Sure

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 Ence

Episode 126 - Certification Versus Qualification

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 o

Episode 125 - Breaking the Case: The Point of Ultrasound

Previously, we recorded a podcast episode about the utility surrounding Point of Care Ultrasound (POCUS). In this episode, we apply that knowledge to specific case scenar

Episode 124 - Canine Care w/George Tarver III

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

Episode 123 - To Treat or Not to Treat: Hypertension

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 pati

Episode 122 - Stay Positive When Preoxygenating (PREOXI Trial)

The principles of preoxygenation and passive oxygenation should be familiar to any experienced intubator. Best practice recommends the use of a nasal cannula in conjuncti

Episode 121 - Outside the Box: Cardiac Arrest Management

Not all cardiac arrests are created equal. Whether the presenting rhythm is asystole, ventricular fibrillation, or PEA, these patients require tailored interventions beyo