show episodes
 
"Heavy lies the crown" is a common misquote of "uneasy lies the head that wears the crown" from Shakespeare's Henry IV, Part 2. It refers to the responsibility and insecurity of governing an entire kingdom. Likewise, "heavy lies the helmet" refers to the responsibility we face as critical care transport providers working in an autonomous and often unpredictable environment. Our minds are eased with education that better prepares us for any situation that we may encounter. That is exactly wha ...
 
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
 
Thyroid Storm and Thyrotoxicosis are often misdiagnosed due to presenting similarly to many other disease processes. How do we identify this condition? What are the standard treatment options? And how do we treat a patient who is refractory to conventional therapy? Joined by EM pharmacist, Chase Turner, we discuss all things hyperthyroidism in this…
 
"Kung" means "skillful work" and "Fu" means "time spent". "Resus Kung Fu" refers to the resuscitation skills we acquire over time to become a true master. But how do we achieve mastery of these cognitive abilities and technical skills? And what role does stress inoculation play in training? Join us and Dr. Michael Lauria in this podcast episode whe…
 
Have you ever been hiking in the woods and wondered what emergency medical services are available in case you got injured? The level of scope varies greatly across the country for wilderness emergency medical and SAR technicians. From first aid to critical care, in this podcast episode, we discuss who is coming, what their capabilities are, and how…
 
Sometimes, we're wrong. And when it comes to normal saline, we might be. Tune in to a breaking news podcast of sorts where we discuss the recently published BaSICS Randomized Clinical Trial, and how it affects our practice in regard to balanced fluid resuscitation. Get CE hours for our podcast episodes HERE! ----------------------------------------…
 
Though the incidents of crush injuries may be low in frequency, major crush injury syndrome is associated with a high mortality rate. In this podcast episode, we sit down with regular guest, Chris Stevenson, to discuss the "why". We highlight the pathophysiology behind re-perfusion injury and pre- and post-treatment options. Get CE hours for our po…
 
How do you decide between non-invasive and invasive ventilation? If you decide on non-invasive ventilation (NIV), how do you choose between heated high flow nasal cannula (HFNC), C-pap, or Bipap? And what critical decision-making tools do you utilize when escalating to intubation? In this podcast episode, we are joined by Flight Respiratory Therapi…
 
Managing Acute Myocardial Infarction (AMI) patients is a concept that many of us learn early on in our careers. Because of that, we can potentially underestimate the importance of our interventions. In this podcast episode, we are joined by Dr. Gottula and Dr. Skrobut to discuss timely management of AMI's, when coronary intervention (PCI) is indica…
 
There are a lot of misconceptions surrounding the meaning of certain lab values and what a positive truly is. Are these numbers as black and white as they are perceived? In this podcast episode, we discuss sensitivity versus specificity, define some of the most common labs and how to avoid tunnel vision when it comes to your clinical interpretation…
 
Taking care of the High Risk OB patient is outside the comfort zone of many of us. The third trimester, specifically, presents unique challenges both pregnancy-related and otherwise. Why are normal physiologic changes related to pregnancy ABNORMAL in the third trimester? How do we determine if the pregnant patient is sick or not sick? And how do yo…
 
Has administration ever made a decision that you didn't agree with and/or understand? Of course! As much as we don't like to admit it, the medical industry is a business. For that reason, finances play a significant factor in decision-making. How do we maintain balance between profit and patient care? How do we bridge the gap between leadership and…
 
Due to the popularity of Episode 68 - X-Ray Vision, we've decided to extend our radiology series and focus on computerized tomography (CT) scans. Head CT scans, specifically, are often viewed by emergency and transport clinicians when patients require tertiary neurovascular services. Tune in to another visually-guided episode as we discuss this ext…
 
Due to the popularity of Episode 68 - X-Ray Vision, we've decided to extend our radiology series and focus on computerized tomography (CT) scans. Head CT scans, specifically, are often viewed by emergency and transport clinicians when patients require tertiary neurovascular services. Tune in to another visually-guided episode as we discuss this ext…
 
Some clinicians may have a tendency to neglect performing a thorough neurological exam in a comatose patient. And when a neuro patient requires an advanced airway, some clinicians may not be mindful of cerebral perfusion pressure and how to optimize it effectively. In this podcast episode, we provide you with the recording of Bryan's presentation f…
 
Pre-hospital resuscitation of the traumatic arrest patient is controversial, to say the least. Some evidence has shown our efforts to be futile. But are the studies skewed by inappropriate management and our resistance to act? When do we intervene, and when do we not? And how can we help improve these poor mortality rates? Join us as we discuss thi…
 
Though we are not Radiologists, we constantly find ourselves needing to interpret basic chest x-rays. Whether it's ETT placement or ARDS identification, it is important to know what you're looking at. Join us for a visually-assisted podcast episode where our very own Intensivist and Medical Director, Dan Rauh, helps break down this seemingly overwh…
 
Though we are not Radiologists, we constantly find ourselves needing to interpret basic chest x-rays. Whether it's ETT placement or ARDS identification, it is important to know what you're looking at. Join us for a visually-assisted podcast episode where our very own Intensivist and Medical Director, Dan Rauh, helps break down this seemingly overwh…
 
Recently, Central America was devastated by back-to-back Category 4 tropical storms including Hurricane Eta and Lota. As a Guatemalan resident, our very own Chris 'Razor' Sharpe was in the thick of it. Tune in to this podcast episode where we discuss the SAR and relief work he was a part of during that dire time. We highlight mission preparation, p…
 
Non-Convulsive Seizures (NCS) or Non-Convulsive Status Epilepticus (NCSE) is defined as cerebral ictal activity without obvious clinical signs. Altered mental status is usually the only notable deficit, so it's important to know how to identify and treat this life-threatening disorder. Tune in to find out how through a casual discussion and real-li…
 
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. --------------------------------…
 
With the upcoming respiratory season, many of us will be caring for an increased number of pediatric and adult patients with pulmonary disease processes. Obstructive physiology, specifically, can result in an increased strain of resources to effectively care for this critically ill population. In this webinar, Mike, Bryan, and Jordan focus on statu…
 
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%…
 
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