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

Altered Addison's

October 1, 2025 • 96 mins
A crew runs a call with an altered patient. Could it be a rare endocrine disorder? Hypotension? Hypoglycemia? Bad cyberware? Find out on this week's episode!
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Special Edition: Unhappy Meal

September 24, 2025 • 93 mins
Chris is in the hotseat as he does a call hungry, making each roll harder and each success a little more out of reach. Are his efforts a super sized success, or does his clinical skill belong on the dollar menu? Vote now!
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Hot Pursuit, Hotter Patient with RAINN WILSON

September 17, 2025 • 94 mins
RAINN WILSON joins Chris and Spencer (no, really) as they discuss a methamphetamine marathon runner who gets brought up to medium rare. Can an EMT push against the tide to get the right thing done? Can Chris expand his vocabulary? Check out CODE 3 starring RAINN WILSON in select theaters NOW!
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Special Edition: Damnit Jerry!

September 10, 2025 • 86 mins
Spencer is in the hot seat, but this time he has the help of Jerry the helpful RN at the local nursing facility / rehab / pit of despair! How does he do? Visit our Instagram to find out!
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Ding Dong, The Patient's... Dead?

September 3, 2025 • 81 mins
When a code 99 comes in for a frequent flyer, a crew finds themself in a classic case of "there's more than meets the eye". Do they follow the yellow brick road to get their questions answered? Click your rube red slippers three times and be transported away to a land of not quite death but maybe some destruction.
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Special Edition: It Can't Be THAT Simple... Can It?

August 20, 2025 • 101 mins
Chris is in the hotseat and immediately starts over thinking a call involving a possible stroke... or UTI... or hypoglycemia... or alcohol? Check out @ems2020show in Instagram and vote on his performance!
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Paralyzing Yourself to Refuse

August 13, 2025 • 95 mins
What does Carhart pants, Fireball Whiskey, weed, and an allergy to authority have in common? They're all in this episode! Follow the Paramedic of Darkness into the fray as we sort out and angry MVA patient that has more issues than they realize.
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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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