EMS 20/20

Long Pause Media | FlightBridgeED

EMS 20/20 is podcast hosted by two experienced Paramedics. Spencer Oliver and Christopher Pfingsten discuss real calls run by real responders and pull out the lessons you won't find in a text book. This podcast is aimed at Paramedic students, seasoned Paramedics looking to refresh, or any one interested in a deeper dive into pre-hospital health care.

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252 episodes
Updated Wednesday
Explicit

Episodes252

Newest first

March 11 · 1 hr 13 min
Special Edition: The Bottom Drops Out
Spencer is in the hotseat and for the life of him (or his pretend patient) him simply cannot get a good role. Did he do a good job, or will you score him lower than the dice did?
March 4 · 1 hr 22 min
The Last POLST Bender
The guys handle a code that gets maybe too handled? Or not handled enough? When does a POLST form count? Listen and find out!
February 25 · 1 hr 8 min
Special Edition: Signs Point to Fracture
Spencer causes Chris to bounce off the walls by giving him a pediatric trauma patient with a clueless dad! How does he manage? Vote now!
February 20 · 1 hr 43 min
In The Wake of Stabby McStabberface
The guys take a stab (lol) at a very chaotic scene that involves AT LEAST one stabbing... and little to know scene safety. Just how bad can a stand by go? Listen and find out?
February 11 · 1 hr 7 min
Special Edition: I Have Better Things To Do
Chris gives Spencer the greatest challenge of all: a distracted Supervisor as a partner. Can Spencer redirect a partner who clearly has more important things to do? Or will he lose his famous cool?
February 4 · 2 hr
Red Dead Redemption Too?
In a gunslinging adventure, the bullets may not be the biggest problem that comes from today's episode. Did we give up before we even got started? Listen and find out!
January 28 · 1 hr 21 min
Special Edition: Fierce Resistance, Betrayal
Chris is given a scenario with a stubborn patient and… a stubborn ambulance Paramedic? Spencer puts Chris on the fire engine this time around, let’s see if he burns! Vote!
January 21 · 1 hr 42 min
When Things Get Skrewy
How do you convince an unaltered but still kind of altered patient to go to the hospital? Especially when they claim they are being tormented by random people who are stealing their sandwich fixings? Listen and find out!
January 14 · 1 hr 32 min
Special Edition: Branching Diagnosis
In a traumatic twist, Spencer finds himself planning to extricate a patient from... a tree? Does he make the right call? Can he remove this patient from a STICKy situation? Vote now on Instagram!
January 7 · 1 hr 49 min
Control Bleeding and Emotions
The guys put themselves in the shoes of a crew that enters a chaotic and potentially dangerous scene. So come on down and meet some friends of mine as Special Guest Dave Horowitz, author of Medic - A Diary, joins the guys in this harrowing tale.
Dec 31, 2025 · 1 hr 35 min
Special Edition: Sepsis on Shaky Ground
Chris digs deep on a patient assessment and also on the structural integrity of the building he's in. Will he do a commendable job, or will his plans... fall through?
Dec 17, 2025 · 1 hr 32 min
Code Alone
Holy wow is this episode... wild. Every calamity that can occur, will occur, especially if you are unprepared. It's almost as though being unprepared invites a swinging paint can to the face. How does today's crew handle a heat related call? Or is it an MI... or is it respiratory?
Dec 10, 2025 · 1 hr 22 min
Special Edition: Drowning Fool
Can Spencer manage some absolutely wrecked lungs? Or will he drown in the salty sea? Vote and let us know what you think! @ems2020show on Instagram!
Dec 3, 2025 · 1 hr 56 min
The Toxicity of This Lady
Dr. Ryan Feldman from The Poison Lab joins us again to talk about a patient that took... all of it. Like all of it. All gone. Can she be saved?
Nov 26, 2025 · 1 hr 7 min
Special Edition: Pregnant Pause
Chris is in the hotseat as Spencer gives him a chest pain call... that is interrupted by an MVA... that is interrupted by a pregnancy call... that is interrupted by a seizure call...
Nov 19, 2025 · 1 hr 30 min
L.A.S.T. Call
The guys fumble through an interesting call with many odd findings... including a high-end hotel that is well prepared for the arrival of EMS. Can this all BLS crew come to the right conclusion?
Nov 12, 2025 · 1 hr 42 min
Special Edition: The Shootout
Today Chris takes aim at Spencer with a call that is all about scene management and lotsa blood! Does Spencer hit the bullseye? Vote on our Instagram!
Nov 5, 2025 · 1 hr 46 min
Freedom From Incompetence!
The guys follow a crew that is mired with questionable choices and potentially a lack in leadership? Should this call have ever been ran? Will the mighty bald eagle weep for this patient? Listen and find out!
Oct 29, 2025 · 1 hr 39 min
Special Edition: Did They Slip or Knot?
On today's special edition, Chris is put in the hotseat by Spencer on an altered LOC patient with a significant language barrier. Can Chris translate this difficult call into a success? Vote now on Instagram!
Oct 23, 2025 · 1 hr 44 min
Trouble In The PlayPlace
Special guest Patrick Pianezza, the writer of CODE 3 (streaming now on Apple and Amazon) joins the guys on a pediatric case with ever so helpful 'nurse' bystander. Do the guys sort things out and figure out what's what (and importantly, whose who)? Listen and find out!

EMS 20/20

Special Edition: The Bottom Drops Out

The Last POLST Bender

Special Edition: Signs Point to Fracture

In The Wake of Stabby McStabberface

Special Edition: I Have Better Things To Do

Red Dead Redemption Too?

Special Edition: Fierce Resistance, Betrayal

When Things Get Skrewy

Special Edition: Branching Diagnosis

Control Bleeding and Emotions

Special Edition: Sepsis on Shaky Ground

Code Alone

Special Edition: Drowning Fool

The Toxicity of This Lady

Special Edition: Pregnant Pause

L.A.S.T. Call

Special Edition: The Shootout

Freedom From Incompetence!

Special Edition: Did They Slip or Knot?

Trouble In The PlayPlace