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

81: Episode 81 – Thyroid Storm Chaser w/Chase Turner

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…

80: Episode 80 – Resus Kung Fu w/Dr. Michael Lauria

“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…

79: Episode 79 – Medicine in the Wild w/David Fifer

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…

78: Episode 78 – Eating Our Humble Pie (BaSICS Trial)

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…

77: Episode 77 – My First Crush w/Chris Stevenson

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…

76: Episode 76 – Pressure to Intubate w/Jon Inkrott

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…

75: Episode 75 – Door to Balloon and in Between w/Dr. Adam Gottula & Dr. Trevor Skrobut

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….

74: Episode 74 – These Aren’t the Labs You’re Looking For

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…

73: Episode 73 – Coming in Third w/Dr. Zaf Qasim

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…