EMS 20/20

EMS 20/20

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.

Episodes

Special Edition: Oops! All Trauma!

August 6, 2025 • 104 mins
Spencer is in the hotseat trying to fix all the problems with a severe trauma patient. Also, Chris cannot count. Vote on Instagram now!
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Self Inflicted Surgery

July 30, 2025 • 104 mins
Hands down, this is the weirdest episode. So many twists and turns. Chris rants about TXA again (start the emails), Spencer gets weird about barnyard animals, and a goat is suspect for attempted murder. Maybe.
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Special Edition: Face the Pain

July 23, 2025 • 89 mins
Chris is in the hot seat! Spencer pulls out a rare but immediately life threatening disorder that threatens to crush Chris under the weight of airway management. Does Chris prevail? VOTE NOW ON INSTAGRAM! @ems2020show
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Bold Strategy Cotton

July 16, 2025 • 107 mins
An interfacility call that seems like your basic, everyday call... until it isn't. A patient goes from walking and talking to huffing and puffing to gasping and... dying?
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Special Edition: Little Altered Man

July 2, 2025 • 86 mins
Spencer is given a 'kitchen sink' type call as Chris leaves him looking around every corner to see if he can walk down Holland road. Does Spencer eek out a 2, or is he leaving you waiting for more? Vote on IG!
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Sus 4 CO

June 25, 2025 • 123 mins
Hey wait... that's not Oxygen! Call an emergency meeting! Does the crew in this week's episode get to the bottom of the problem BEFORE it's too late? Listen and find out on this OD turned CO!
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Special Edition: Recipe for Disaster

June 18, 2025 • 93 mins
Spencer attempts to trip Chris up with a chaotic flight call! An IFT where a small hospital is struggling to keep up with a severe trauma patient's needs. Is Chris the missing ingredient that ties the whole dish together, or does he completely ruin the flavor profile? VOTE ON INSTAGRAM!
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Bullet(s) With Butterfly Wings

June 11, 2025 • 98 mins
A team of responders enter a scene made safe(ish) by PD to find a very unhappy gunshot victim. Are they able to calm his rage and treat appropriately? Listen and find out!
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Special Edition: He's Choking Now

June 4, 2025 • 84 mins
Time's up! Over! BLAU? Spencer is in the hot seat as an unconscious unresponsive patient is presented to him. Does he choke? Does he handle it with grace? Let us know and vote on our IG! @ems2020show
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Prepare for Unforeseen Consequences

May 28, 2025 • 81 mins
The guys analyze a crew that walks into self-imposed traps. Do they figure it out before it's too late, or do they find themselves at the bottom of a hidden pit? Listen and find out!
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Special Edition: Gambling with Grumpy

May 14, 2025 • 89 mins
Spencer rolls the dice for Chris as he presents him with one grumpy customer... can Chris get through the interpersonal obstacles or will he fall flat on his face? Vote on our Instagram!
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Get Out of My Head!

May 7, 2025 • 92 mins
Is it an overdose? Is it trauma? Is it... something else entirely unhinged? Yes. Listen and find out what the guys have to deal with in today's exciting and surprising episode!
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No Right Answers!

April 30, 2025 • 112 mins
Chris gives Spencer a maze with no end... or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he miss a vital intervention that leads to a dead end?
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Rage Against The EKG

April 23, 2025 • 93 mins
Is this EKG even for the right patient? A wild call with everything from pediatric to... significant OLMC considerations causes the guys to call in some backup... this time in the form of Dr. Michael Lauria! Can the team find some useful lessons with a little help? Listen and find out!
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Special Edition: Crafting a Plan

April 16, 2025 • 94 mins
Chris is given the mother of all scenarios where a pediatric patients takes... well, all the medications. PLUS! We introduce the coveted DICE ROLL to spice things up! Just because Chris asks for it doesn't mean he'll get it! Luck of the draw is at play in this week's episode. VOTE ON INSTAGRAM!
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Disappearing Leadership

April 9, 2025 • 134 mins
A discharge home for a patient is difficult for all the wrong reasons. Chris... defends the bad guy? Nuance is key as Chris and Spence discuss the wrong time and place in this week's episode.
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Special Edition: Bled Too Much? Is That A Thing?

April 2, 2025 • 84 mins
SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel!
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Only Anaphylaxis... and Nothing More..?

March 26, 2025 • 101 mins
Is this a case of a LETHAL distracting injury? Can there ever be such a thing? Is an amped up responder with a "just-go" mentality in the right? Listen and find out!
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Special Edition: Respiratory Kombat

March 19, 2025 • 61 mins
Chris is in the hotseat and his patient is in respiratory distress and making alllll the sounds. How does Chris hold up to this onslaught of respiratory trouble? Vote on our Instagram at @ems2020podcast!
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Phony Chest Pain

March 12, 2025 • 83 mins
Chest pain? Check. Sus ECG? Check. STEMI? Not check. A very tired Chris and a nerded out Spencer (12-leads... go figure) give MAXIMUM effort in today's call with a curious conclusion.
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