On this show we have espoused the general guiding principal of "when you hear hoofbeats, think horses, not zebras." Sometimes the hoofbeats actually are those of zebras. But what if sometimes there not even zebras, they're unicorns? On this episode of AMPED, our patient has been bitten by a Jameson's Mamba, one of the deadliest snakes in the world. Thankfully, he is an expert herpetologist who is able to talk our team through the steps needed to save his life. But what our team learns is that sometimes that which seems extremely rare results in care that isn't rare at all.

A brutal incident where a woman gets hit by a truck leaves her with a multitude of injuries, most notably both of her legs bent into a position best described as "frog legs." She's in good spirits and her vitals are good, but her legs bent at that angle means that she cannot fit into our team's helicopter. How does our team get her legs back into place without causing further trauma or risking her stable vitals? Complicating factors is the extremely uneven ground because they're in a cow pasture and the risk of infection is extremely high because the team and the patient are surrounded by cow patties. There is no training for this exact scenario, so how does our team adapt and apply the training they have to this unique situation? This episode of AMPED digs in.

In an incredible twist of irony, this month's case focuses on our flight crew loading into their helicopter to be dispatched to... a patient who has fallen out of a helicopter. From a height of approximately 40 feet and at a speed of 30 knots, our patient has an abundance of injuries, which requires our team to remember their axiom: "Slow is smooth, and smooth is fast." This episode also introduces an important question: How do we intervene in different kinds of shock? Our patient had three different kinds: Hemorrhagic, neurogenic, and obstructive shock. Listen in as our guest, along with our panel, deconstructs one of the rarest cases in AMPED history.

A common aphorism in the medical community comes from Dr. Theodore Woodward who said in the 1940s, "When you hear hoofbeats behind you, think of horses, not zebras." It's a way of reminding medical practitioners that the most common explanation is usually correct. In other words, Occam's Razor is usually correct. But what happens when the most common explanation isn't correct? What happens when you turn around and find a zebra looking at you? In this month's episode, our team finds a pediatric patient who seems to have had a stroke. Stroke is very uncommon in children, but that doesn't mean it never happens. Listen in as our team starts with the basics, analyzes the feedback, and arrives at their conclusion.