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 ...
 
The Bearcycle Show in association with The Robots Radio Network presents The Omega Broadcast | A Fallout Story: a radio drama podcast with a captivating story, centered in the immersive fallout universe. The Omega Broadcast is a young man's journey throughout a post-apocalyptic USA. This story follows once Vault 76 resident Bryan Burton as he sets up and develops a new settlement within the Appalachian Wasteland. He is forced to face the mysteries of his past, all the while trying to navigat ...
 
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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…
 
Welcome back everyone to The Omega Broadcast A Fallout Story. We find our main character Bryan Burton sitting in Boone's camp trying to figure out his next steps. Will he reprogram Professor Hamilton? Will he get his mom's transmission? Will he make it back to Omega? Let's find out. In this minisode, Bryan is desperately trying to reconnect with Ca…
 
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…
 
I just wanted to give an update on where the show is at during the mid-season break. Also, we've seen some amazing fallout audio drama shows come out of our writer's guild. Far From Heaven A Fallout 76 Story https://anchor.fm/farfromheaven The Modus Files https://anchor.fm/lawrence-mcnamara SUPPORT THE SHOW. Every aspect of this show is completely …
 
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…
 
Merry Christmas, Happy Holidays, and Happy New Year to you all! I just put together this fun little mini-episode, to bring in a bit of light-heartedness and joy as we end the year. As we have reached our show's "Mid-Season Finale" we are gearing up to kick off in 2021 with the conclusion to the season and find out exactly what's going to happen wit…
 
Previously on The Omega Broadcast, With Bryan passed out, he wasn't able to hear the live broadcast from his mom to see she was still alive and well. In this episode we reach the "Mid-Season Finale" Bryan and Professor Hamilton find themselves in a unique situation. They meet new people, and get a new outlook on life in the wasteland. Meanwhile Bis…
 
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…
 
Previously on The Omega Broadcast, Bryan lost so much blood that he passed out. A live transmission began to broadcast as he laid on the ground unconscious. In this episode we get to meet Bryan's mother, Professor Molly Burton. While working with her own agenda in The Capital Wasteland, an old distress relay beacon that she programed as an alarm be…
 
There's nothing like Spooktober, and although it is a great time for pumpkins, candy, costumes, and mischief. The one thing that we love are the variety of scary stories. With Halloween just around the corner, we've decided there was no better time to release our first new type of minisode we are calling "Journal Entries". We've listened as the sho…
 
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…
 
In this episode of The Omega Broadcast | A Fallout Story Podcast, Bryan is back on the trail to find clues that might just lead to his mom. While escaping the newly introduced cult "The Missionaries" and their demanding leader Bishop, Bryan is sure to face some challenges in the future. Will he make it to Vault Tech University? Will he recover that…
 
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…
 
Episode 4 is out, and we are receiving such a great response. This is a quick and simple bonus update to keep you all informed with what is happening. Our team is continuing to grow, we have added a few new amazing voice actors to the team! Also as a bonus at the end of this episode is the full song Where You Belong by Isaac Wingo. Because of const…
 
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…
 
In the last episode of The Omega Broadcast | A Fallout Story Podcast, Bryan encountered something mysterious in the Morgantown Super-duper Mart. This led him to an unknown location, face to face with an unknown man. What was going on in that Super-duper Mart? Where has Bryan ended up? Who is the mysterious man that wants to have words with him? Let…
 
Episode 4 is on its way! This is a quick and simple bonus update to keep you all informed with what is happening. Our team is continuing to grow, we have added a few new amazing voice actors to the team! Also a cool little surprise is coming in the next episode, so stay tuned and keep an ear out for episode 4. SUPPORT THE SHOW. Every aspect of this…
 
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…
 
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.…
 
In this episode of The Omega Broadcast | A Fallout Story Podcast, Omega is continuing to grow. Bryan is back in town and while still struggling with encountering his past, he has to deal with recurring nightmares. Also we start to find out a bit more about what was on that busted holotape he found in Point Pleasant. SUPPORT THE SHOW. Every aspect o…
 
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.…
 
In this episode of The Omega Broadcast | A Fallout Story Podcast, we get introduced to the new handyman of OMEGA, Carl Cassidy. Bryan is out in the wasteland scavenging parts to fix the holotape he found in Point Pleasant, and while he is out Carl decides its the right time to introduce himself to the world. SUPPORT THE SHOW. Every aspect of this s…
 
In this episode of The Omega Broadcast | A Fallout Story Podcast, Bryan begins to see an influx of people making their way through OMEGA, all because of his initial broadcast. With some settlers deciding to make OMEGA their homes, Bryan is able to venture out into the wasteland in search of answers to questions he didn't even know he had. SUPPORT T…
 
In this episode of The Omega Broadcast | A Fallout Story, we see Bryan Burton sharing his origin story, from where he came from to how he ended up as a resident in Vault 76. We listen along as he begins to establish his new settlement of OMEGA, within the harsh and chaotic Appalachian wasteland. SUPPORT THE SHOW. Every aspect of this show is comple…
 
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…
 
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…
 
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…
 
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…
 
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…
 
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…
 
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…
 
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