Heavy Lies the Helmet
Heavy Lies the Helmet

Heavy Lies the Helmet

Mike Boone, Dan Rauh, & Dr. Amanda Humphries

Overview
Episodes

Details

The Heavy Lies the Helmet® Podcast is by critical care professionals, for critical care professionals. Hosted by Mike Boone, Dan Rauh, and Dr. Amanda Humphries, we dive deep into the realities of emergency and critical care medicine. Our conversations are raw, honest, and practical — cutting through the noise to focus on real-world challenges, clinical decision-making, and the human side of high-acuity care. Whether we're unpacking complex patient scenarios, discussing the nuances of teamwork and leadership, or highlighting the mental and emotional weight of the job, our podcast offers a space where providers can learn, connect, and feel understood. No fluff. No corporate agendas. Just real talk for real clinicians.

Recent Episodes

Episode 134 - Giving Patients Room to Breathe w/Melody Bishop (Part 1)
NOV 21, 2025
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, and an approach that works whether you're in the back of a helicopter, a tight ambulance box, or a chaotic ED bay.

We walk through the foundational concepts and the "why" behind each knob you touch. Then we zoom in on the Hamilton T1, the vent many of us love, hate, and still rely on every single shift. We cover what the T1 gets right, where people get tripped up, and how to let the machine work with you instead of against you.

If you've ever wished mechanical ventilation felt less like memorizing settings and more like understanding physiology in motion, this episode will tighten up your practice and give you tools you can use on your very next flight or transport.

Get CE hours for our podcast episodes HERE!

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Twitter @heavyhelmet

Facebook @heavyliesthehelmet

Instagram @heavyliesthehelmet

Website heavyliesthehelmet.com

Email [email protected]

Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates.

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58 MIN
Episode 133 - Tracheostomy: The Neck's Best Thing
OCT 3, 2025
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 down short-term and long-term complications you may encounter, and how to troubleshoot them in high-stakes environments. From occlusions and dislodgements to bleeding, we'll cover practical strategies to keep these vulnerable patients safe. Whether you're new to airway management or a seasoned clinician, this discussion will sharpen your approach to one of the most intimidating airways you'll encounter.

Get CE hours for our podcast episodes HERE!

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Twitter @heavyhelmet

Facebook @heavyliesthehelmet

Instagram @heavyliesthehelmet

Website heavyliesthehelmet.com

Email [email protected]

Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates.

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Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

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46 MIN
Episode 132 - Prolonged Flight Care w/Dr. Tim Hurtado & Brett Weiner (Big Announcement)
AUG 18, 2025
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 episode, Dr. Tim Hurtado and Brett Weiner help us dive into the challenges and realities of prolonged field care in air medical transport. We'll explore clinical considerations, crew dynamics, and decision-making strategies that can help you maintain high-quality care when time isn't on your side.

We're also excited to announce our new in-person course. This immersive training opportunity is designed to push you beyond the textbook and prepare you for the complexities of prolonged care in austere or transport environments.

Get CE hours for our podcast episodes HERE!

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Twitter @heavyhelmet

Facebook @heavyliesthehelmet

Instagram @heavyliesthehelmet

Website heavyliesthehelmet.com

Email [email protected]

Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates.

--------------------------------------------

Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

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54 MIN
Episode 131 - TXA: The Clot Thickens
JUL 14, 2025
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 a drug that's been both praised and questioned in trauma and prehospital care. We break down what TXA is, how it works, and the evidence behind its use. From CRASH-2 to CRASH-3, we explore the key studies, the controversies, and the real-world implications. Whether you're administering TXA in the back of a rig or evaluating its role in your protocols, this episode helps you make sense of when, why, and how TXA might—or might not—stop the bleeding.

Get CE hours for our podcast episodes HERE!

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Twitter @heavyhelmet

Facebook @heavyliesthehelmet

Instagram @heavyliesthehelmet

Website heavyliesthehelmet.com

Email [email protected]

Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates.

--------------------------------------------

Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

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54 MIN
Episode 130 - Opinion-Based Medicine w/Mike Carunchio
JUN 13, 2025
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 teams, AHA guidelines, and our choice of crystalloids? How are we justifying what professionals are allowed to post on social media? And do we agree with the currently accepted norms?

Who better to join us in this discussion than Mike Carunchio of The World's Okayest Medic Podcast. Diving into these and other controversial topics, we see if our two platforms can come to a consensus in a randomized, uncontrolled conversation.

*Strong opinions were involved in this production. If something challenges your perspective, good—that's the point.

Get CE hours for our podcast episodes HERE!

--------------------------------------------

Twitter @heavyhelmet

Facebook @heavyliesthehelmet

Instagram @heavyliesthehelmet

Website heavyliesthehelmet.com

Email [email protected]

Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates.

--------------------------------------------

Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

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70 MIN