Heavy Lies the Helmet

Hosted ByMike Boone, Bryan Boone, Dan Rauh & Chris Sharpe

“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 what Heavy Lies the Helmet provides.

Heavy Lies the Helmet 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 applicable to any intrahospital discipline working in an emergency or intensive care setting. We utilize the most recent evidence to provide applicable and accurate education that can assist in improving individual clinical practice and overall program operations.

They offer continuing education units to any listener and/or reader interested in obtaining credit for their progressive learning experience.


All Episodes

57: Episode 57 – Weight and Calculate w/Lynn Lamkin

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…

56: Episode 56 – Where There’s Smoke, There’s Injury w/Chris Stevenson & Michael Feldman

You asked. We answered. In a follow-up to our , 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…

55: Episode 55 – The Art of Titration (Vasopressors)

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…

54: Episode 54 – A World Upside Down: Transporting Prone (Presentation)

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…

53: Episode 53 – From Beginning to End-Tidal (Presentation)

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,…

52: Episode 52 – Ins and Outs of Influenza

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…

51: Episode 51 – Interrogating a Pulmonologist (Featuring Deep Sharma)

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…

50: Episode 50 – Crash & Burn Resuscitation w/Chris Stevenson

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…

49: Episode 49 – Addressing SALAD w/Matt Jensen

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…