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EMS 20/20

EMS 20/20

Christopher M Pfingsten

Critical Care, Police, Paramedic School, Nremt, Ems, Education, Fire Fighter, Health & Fitness, Medical Science, Nurse, Ambulance, Rn, Life Sciences, Doctor, Study, Health, Emergency Room, Paramedics, Wellness, Registered Nurse, Exam, Paramedic, Case Study, Emergency Medical System, Transport, Science, Er, Emergency, Medicine, Hems, Medical, Courses, Emt

4.6775 Ratings

Overview

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.

192 Episodes

Get Out of My Head!

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!

Transcribed - Published: 7 May 2025

No Right Answers!

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?

Transcribed - Published: 30 April 2025

Rage Against The EKG

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!

Transcribed - Published: 23 April 2025

Special Edition: Crafting a Plan

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!

Transcribed - Published: 16 April 2025

Disappearing Leadership

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.

Transcribed - Published: 9 April 2025

Special Edition: Bled Too Much? Is That A Thing?

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!

Transcribed - Published: 2 April 2025

Only Anaphylaxis... and Nothing More..?

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!

Transcribed - Published: 26 March 2025

Special Edition: Respiratory Kombat

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!

Transcribed - Published: 19 March 2025

Phony Chest Pain

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.

Transcribed - Published: 12 March 2025

Special Edition: Frat House Fever

Can Spencer handle the heat? Or really... can his patient? How does Spencer do when faced with a "tough" frat bro who has a fever that just won't quit? Vote now on our Instagram!

Transcribed - Published: 5 March 2025

The EMT and The Sea

...of bodily fluid. The guys set sail on an adventure to see what they can find on a particularly... sticky... call. Also... IT ENDS WITH A SONG!

Transcribed - Published: 26 February 2025

Special Edition: Look at This Patient's Sats

Spencer puts Chris in the hotseat with an... anxiety call? Does Chris wind up being a big rockstar or will he never make it as a wise man? Check out @ems2020show on Instagram and VOTE!

Transcribed - Published: 19 February 2025

Rocko's Modern Wreck

Oh no... apathy strikes again in this week's episode as two cars attempt to occupy the same space in traffic. An ALS fly car responds to sort out the chaos... do they achieve this goal? Listen and find out!

Transcribed - Published: 12 February 2025

Special Edition: Who Wants To Be Not Dead?

Spencer winds his mind around a call where a patient is heroically pulled from a fire! But they are, unfortunately, lacking a pulse. How does Spencer stack up? Check our IG to vote!

Transcribed - Published: 6 February 2025

Neo Leaves the Matrix

Chris and Spence try and figure out what's real and what's not on a call where an altered man wounds up getting taken to the way wrong place. The result? Not good. Not good at all.

Transcribed - Published: 29 January 2025

Special Edition: Honey, I Shrunk the Airway

Spencer fires off a devious pediatric call where Chris is forced to weight something versus nothing! Vote on Chris' performance on Instagram!

Transcribed - Published: 22 January 2025

The View From Halfway Down

**WARNING this episode deals with the topic of suicide** Clinical Toxicologist and host of The Poison Lab Dr. Ryan Feldman is BACK! The thruple review a call where the patient intentionally ingests Sodium Nitrate and an EMS crew struggles to keep up with the patients rapid decline. What, if anything, can they do? Listen and find out!

Transcribed - Published: 15 January 2025

Special Edition: Drop Kick Syndrome

The Special Editions are back! We kick it off with an absolute doozy of a breathing problem and lungs that are so... clear? Listen and see if Spencer suffocates or if his performance is a breath of fresh air.

Transcribed - Published: 8 January 2025

SquKid Game

Attention Players: A crew heads to a traffic accident with multiple patients and is assigned to care for a 3.517892 year old child with a leg injury... or ARE THEY?

Transcribed - Published: 1 January 2025

Panic! At the OR

The guys get so emo when an outpatient clinic panics and... helps? Is this a case of a sick patient or patient made sick? Listen and find out!

Transcribed - Published: 18 December 2024

Special Edition: ENDGAME

In a bid to clench the win, Chris navigates a chest pain call from the Master Your Medics 100 Patient Scenarios Book! Can he put up a strong enough performance and force Spencer to enjoy Dutch Bros? Or will he be dining on Salmon Bisque? VOTE ON INSTAGRAM! THEIR FATES ARE IN YOUR HANDS!

Transcribed - Published: 11 December 2024

Out of Leadership

A trauma call with a complicated patient and a ship that desperately needs a captain. Does the crew get it together or is it the end of the world as we know it?

Transcribed - Published: 4 December 2024

Special Edition: Stroke of Genius

WE FINALLY KNOW THE PUNISHMENT FOR THE LOSER! Also, Spencer is given a complex stroke call that needs an airway! Does he recognize it? Does he act appropriately? Let us know how you think he did below!

Transcribed - Published: 27 November 2024

The Significant Intrusion Album

A car split hot dog style... a medic that is rude and disengaged... a massive med error... what isn't there to love about this week's episode?! Tune and find out just how wild things get in this week's episode!

Transcribed - Published: 20 November 2024

Special Edition: Heli Horror with Eric Bauer

Join Chris, Spencer AND SPECIAL GUEST **ERIC BAUER** as the team sift through a transfer that has all the bells and whistles: an intubation, a med error, a crew conflict... this one has it all!

Transcribed - Published: 13 November 2024

An AMS Call For Gifted EMT's

Spencer and Chris dive into an ALOC call that was perhaps inappropriately placed into the hands of an AEMT. Is this a case of call turfing, or a misguided educational opportunity? Listen and find out!

Transcribed - Published: 6 November 2024

Special Edition: Chris Seizes

We're back for another Master Your Medics Special Edition! Spencer tosses Chris a hot hot potato and Chris... well Chris tries. Does he need a thermometer or a calculator? Find out!

Transcribed - Published: 30 October 2024

Greased Lightning

Which is the best food product to cover a burn patient in? Spoiler: none. Join the guys as we learn from burn unit RN Erin Horrax that math sucks, patient advocacy is great, and pain meds are pretty darn cool too.

Transcribed - Published: 23 October 2024

Special Edition: Spencer Kills

First rule about EMS 20/20... talk about it, constantly. Second rule... judge Spencer on our Instagram! Does he nail this code 99 call? Does he leave a lot to be desired? Check out the poll on IG @ems2020show!

Transcribed - Published: 16 October 2024

We All Scream For Levophed!

Spence, Chris, and the host of Nine One One Nonsense SAMANTHA BRAWLEY take on a critical care transport that was cold from the get go. The fish truly rots from the head as a doctor sends a patient on the wrong medication and leaves a crew with no alternatives...

Transcribed - Published: 9 October 2024

Special Edition: Ruptured Confidence

In this weeks MASTER YOUR MEDICS SPECIAL EDITION, Spencer throws Chris a call that requires both clinical prowess and bedside expertise as Spencer hopes to even the odds. VOTE ON OUR INSTA!

Transcribed - Published: 2 October 2024

How I (didn't?) Kill Your Mother

Let's go to the mall... today! ASHLYNN O'DELL joins the guys once again to go through everyone's favorite call: an uncomplicated refusal with absolutely nothing worry about whatsoever...

Transcribed - Published: 25 September 2024

Special Edition: Lung Blooder

CHECK OUT OUR INSTA AND VOTE! Spencer is dealt a HARD airway call by a cruel Chris! Listen and see how he does and vote to let us know how you feel!!

Transcribed - Published: 18 September 2024

Chest Burster

Spencer brings a call that is totally just anxiety. Honestly, no need to listen to the episode this week, nothing is wrong with the patient. Not at all. Move along. Sign this Refusal to Listen. Maybe have a friend listen if you really think you need it.

Transcribed - Published: 11 September 2024

Special Edition: Will Chris Choke?

As payback, Spencer gives Chris a pediatric airway call. Will Chris choke? Head to @ems2020show on Instagram and vote for Chris' score!

Transcribed - Published: 4 September 2024

Running Up That SpO2 (Hopelessly)

The SpO2 climbs while the patient declines? What?! A fed up patient and Paramedic who, if they only could, would swap places with just about anyone on this week's call!

Transcribed - Published: 28 August 2024

Special Edition: Spencer Gets Breathing Room

In today's Master Your Medics Special, Chris throws Spencer a pediatric breathing difficulty to see if he pulls ahead or falls behind in the currently 1-1 match between the the hosts!

Transcribed - Published: 21 August 2024

Speeding Towards Sedation

Is less more? Is more less? When a patient's mental baseline is uncertain, how much EMS is too much EMS? Listen and find out to see if the guys can right the speeding bus before thing blow up!

Transcribed - Published: 14 August 2024

Special Edition: Chris is on Shaky Ground

Master Your Medics has sponsored today's episode where Spencer tests Chris with an altered LOC call. Does Chris get the shakes or does he tie up the score?

Transcribed - Published: 7 August 2024

Wonka's Weedy Wallop!

Wow. Spencer tries to outright murder Chris with a litany of system issues and leaving equipment behind as a Paramedic gets assaulted and an EMT gets abandoned. Listen now and see if Chris survives this week's episode!

Transcribed - Published: 31 July 2024

Special Edition: Pass or Flail?

For the first time ever, Chris and Spencer will be squaring off to see who can pass the test the best as the guys test one another using the 100 Patient Scenarios book by Master Your Medics! In this episode, Chris serves up a trauma call to see if Spencer can manage. Check out the masteryourmedics.com bookstore and get a copy of the 100 Patient Scenarios Book today!

Transcribed - Published: 24 July 2024

UnTrue Lies

Chris becomes numb to crews leaving kits out in the rig... but no worries! His senses are revitalized as apathy encroaches upon an unsuspecting intern and things go from bad to worse to bullshit! Let's see what the guys think in this week's episode!

Transcribed - Published: 17 July 2024

We Did Not Plan For This

What happens when you have talented medics at a standby event... with no operation plan? Frustration and a little hilarity is what happens, and Spencer and Chris are here again to break it all down. PLUS! Are we going back to weekly content??? Maybe...

Transcribed - Published: 3 July 2024

Under the Bridge

Can you fall from a bridge onto a steel barge and survive? Maybe. Chris and Spence go on an adventure where vehicles are commandeered and daring rescues are made in one of the most atypical calls we've had in quite some time!

Transcribed - Published: 19 June 2024

Hurt

EMS can be dangerous. Though incidents that truly threaten the lives of responding crews are not common, his leadership responds and supports those on the front lines matters.

Transcribed - Published: 29 May 2024

All The Small Pills

Chris and Spencer need a little help from an expert. Enter Dr. Ryan Feldman, Clinical Toxicologist and host of The Poison Lab Podcast! A patient takes everything they can get their hands on, but of all the pills... which one is the worst? Find out on this weeks episode!

Transcribed - Published: 22 May 2024

LEGO my V-Tach!

"Stop shocking me!!" Is the quote of the day when listening to this episode! Spencer and Chris delve into a fall patient then ends up being just a little bit more than a band-aid. Can the crew follow the instructions and build a great call out of loose parts?

Transcribed - Published: 8 May 2024

T is for Terrible Manners

N is for neuro symptoms, S is for stroke, and U is for uncaring agency that needs a reality check. What do you do when a responding agency is responding angrily? Listen and find out!

Transcribed - Published: 24 April 2024

Please Don't Take Me There

So what do you do when the nearest "appropriate" hospital is actually the lair of the Shredder? Do you pass it up or go by the book? Listen to this week's episode and see if the Turtles go rogue or following the teachings of Master Splinter.

Transcribed - Published: 10 April 2024

It's Just My Arm... Promise.

When is it ever really as easy at it seems? Take a helluva dive with the guys as they figure out what was missed as a vaping patient complains about their arm.

Transcribed - Published: 27 March 2024

Disclaimer: The podcast and artwork embedded on this page are from Christopher M Pfingsten, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

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