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EMS 20/20

EMS 20/20

Christopher M Pfingsten

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

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.

244 Episodes

Lives Out: An EMS 20/20 Mystery

Dr. Will Heuser join the crew in a an altered LOC mystery! Intubation, a mystery of a history, and a blood pressure that is not cooperating with authorities. Will and the guys will also be at FAST26, get your tickets now! fbefast.com

Transcribed - Published: 23 May 2026

Do Not Pass ER

Special Guest GEOFF MURPHY of Master Your Medics fame joins the guys for a trip around the game board as a Canadian crew navigate the harsh realities of the unknown reasons someone could be altered... with a STEMI. Maybe.

Transcribed - Published: 19 May 2026

This Call is Baulder's Dash

Chris finds the effects button on the mixer as Spencer relays a call that shows everything that can go wrong when systemic, cultural apathy sets in deep in a system.

Transcribed - Published: 13 May 2026

Special Edition: Stroke of (un)Luck

Chris has his worst luck yet, as he finds an altered patient, and angry wife, and absolutely no help. How does he do? Vote on our IG! @ems2020show!

Transcribed - Published: 6 May 2026

Gravitating Towards Anaphylaxis?

A rapidly swelling tongue and plummeting saturations point a crew into EXACTLY the... wrong? Direction? Can you figure it out before the guys do? Let us know!

Transcribed - Published: 29 April 2026

SUPER Special Edition: Split the Party!

TODAY IS AWESOME! For the first time ever, neither of us are in the hotseat! Instead, the crew from The RideAlong EMT School Podcast join us in an epic collab event! How does a pair of newly minted EMT's and an experienced Paramedic do against the madness that besets them? And no, we don't go easy on them...

Transcribed - Published: 22 April 2026

Shake N Bake Boys, I Think We Got a BBQ

The guys welcome Special Guest Dr. Mike Lauria to the show! A crew attends a patient that is perfectly alive, but does NOT stay that way! Can this crew get in sync with what the patient needs, or do they head down a spiral of doom? And can Spencer and Lauria STOP adding movie references?

Transcribed - Published: 15 April 2026

PREVIEW: Stranger Lungs

To the whole STRANGER LUNGS episode, head over ems2020.com and get signed up for the EMS 2020 CE platform!

Transcribed - Published: 13 April 2026

Special Edition: Reacting to the Lake

Spencer is given a call that has everything from boats to mystery homemade sunscreen... how does he do? Check out our IG at @ems2020show and vote today!

Transcribed - Published: 8 April 2026

Twisted Tongue Trauma (ish...)

The guys review a call that has blood coming from... somewhere in the mouth. Maybe. Maybe deeper. But there's a lot! Enough to cause some shock? Maaayyyybbeeeee....

Transcribed - Published: 1 April 2026

Special Edition: Chris Sucks at Electrolytes

Chris gets a call that he... isn't the most proud of. But Spencer feels he did OK+ ! What do you think? Vote now on Instagram!

Transcribed - Published: 25 March 2026

Philip Gets Fried

A pediatric airway/neuro/ewww call! Can Chris and Spencer get this figured out? An error occurs... does the agency step up and future proof themselves? Or do they fall to the old ways of the past?

Transcribed - Published: 18 March 2026

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?

Transcribed - Published: 11 March 2026

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!

Transcribed - Published: 4 March 2026

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!

Transcribed - Published: 25 February 2026

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?

Transcribed - Published: 20 February 2026

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?

Transcribed - Published: 11 February 2026

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!

Transcribed - Published: 4 February 2026

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!

Transcribed - Published: 28 January 2026

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!

Transcribed - Published: 21 January 2026

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!

Transcribed - Published: 14 January 2026

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.

Transcribed - Published: 7 January 2026

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?

Transcribed - Published: 31 December 2025

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?

Transcribed - Published: 17 December 2025

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!

Transcribed - Published: 10 December 2025

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?

Transcribed - Published: 3 December 2025

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...

Transcribed - Published: 26 November 2025

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?

Transcribed - Published: 19 November 2025

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!

Transcribed - Published: 12 November 2025

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!

Transcribed - Published: 5 November 2025

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!

Transcribed - Published: 29 October 2025

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!

Transcribed - Published: 23 October 2025

Slay Thy Assumptions!

Spencer brings a call riddled with stumbles from both the patient and a seasoned Paramedic. Does this field training need some training of their own? Listen and find out!

Transcribed - Published: 15 October 2025

Special Edition: Heated Reaction

Spencer finds himself in the hot seat on a hot day in a hot field with unresponsive patient. What could be the problem? Or problems? Does Chris make things harder? Of course he does. VOTE now!

Transcribed - Published: 8 October 2025

Altered Addison's

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!

Transcribed - Published: 1 October 2025

Special Edition: Unhappy Meal

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!

Transcribed - Published: 24 September 2025

Hot Pursuit, Hotter Patient with RAINN WILSON

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!

Transcribed - Published: 17 September 2025

Special Edition: Damnit Jerry!

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!

Transcribed - Published: 10 September 2025

Ding Dong, The Patient's... Dead?

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.

Transcribed - Published: 3 September 2025

Special Edition: It Can't Be THAT Simple... Can It?

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!

Transcribed - Published: 20 August 2025

Paralyzing Yourself to Refuse

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.

Transcribed - Published: 13 August 2025

Special Edition: Oops! All Trauma!

Spencer is in the hotseat trying to fix all the problems with a severe trauma patient. Also, Chris cannot count. Vote on Instagram now!

Transcribed - Published: 6 August 2025

Self Inflicted Surgery

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.

Transcribed - Published: 30 July 2025

Special Edition: Face the Pain

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

Transcribed - Published: 23 July 2025

Bold Strategy Cotton

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?

Transcribed - Published: 16 July 2025

Special Edition: Little Altered Man

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!

Transcribed - Published: 2 July 2025

Sus 4 CO

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!

Transcribed - Published: 25 June 2025

Special Edition: Recipe for Disaster

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!

Transcribed - Published: 18 June 2025

Bullet(s) With Butterfly Wings

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!

Transcribed - Published: 11 June 2025

Special Edition: He's Choking Now

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

Transcribed - Published: 4 June 2025

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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