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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.

Hosted byChris Phingsten, Spencer Oliver
261 episodes Education 180 with CE
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EMS 20/20 Mauly and Me
Sep 30, 2026 1:45:26

In today's all BLS episode, a crew runs into a career first (and maybe career worst...) kinda call. Can two EMT's, neither with more than a year of experience and no ALS in sight, pull it off? Have a listen and find out on this week's episode that goes totally off-leash.

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EMS 20/20 Special Edition: YOU SHALL BE AVENGED
Episode 262 Sep 23, 2026 1:36:00

Listener Sam joins the crew in a call that stinks of old EMS 20/20 episodes... does the listener catch on and solve the case? Do the dice do him dirty? Listen and find out!

CE COMING SOON Oct 19, 2026 6:00 AM CDT
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EMS 20/20 The Pieces Don't Fit
Episode 261 Sep 18, 2026 2:00:05

Spencer brings a case and Chris becomes somewhat skeptical that the juice is worth the squeeze as a crew struggles to get the pieces to fit. A language barrier, an explosion, and equipment that just won't work compounds a patient with a serious injury. Do they figure it out, or does their screen fill up with mayhem?

CE COMING SOON Oct 19, 2026 6:00 AM CDT
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EMS 20/20 Special Edition: POCUS Ranger
Episode 260 Sep 16, 2026 1:08:28

On this weeks Master Your Medics Special Edition, we have Danny Kustra! Known for speaking at FAST conferences and running @dnr_prehospital_education, Spencer gives him a harrowingly difficult call... does he sink or swim? HINT: swimming is easier with sonar...

CE COMING SOON Oct 19, 2026 6:00 AM CDT
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EMS 20/20 Legal Lessons for a Full Kart
Episode 259 Sep 2, 2026 2:06:31

SPECIAL GUESTS SAMANTHA JOHNSON (a real attorney!) and NICK ADAMS from the Standard of Care Podcast join the guys today as we go over an amazing episode with a diabolical twist... A well run trauma call turns into... another well run trauma call? Chris and Nick go in blind while Samantha and Spencer hang back and blue…

CE COMING SOON Oct 19, 2026 6:00 AM CDT
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EMS 20/20 Unexplained Resuscitation
Episode 258 Aug 19, 2026 1:29:51

What happens when you drag a coded patient across the carpet at break neck speed? Can you defib a cigarette? All this and more on this weeks episode as a Canadian crew handles a code down a looooooooong hallway.

CE COMING SOON Oct 19, 2026 6:00 AM CDT
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EMS 20/20 Special Edition: BOLDY GOING... (...to the ER for lab values)
Episode 256 Aug 12, 2026 1:57:54

In a first ever to EMS 20/20, we invite a listener to the show to participate in our Master Your Medics Special Edition! As a voluntary sacrificial Red Shirt, Kate joins the crew and is given a patient! And then another... or maybe just one? Wait, why are we going to the hospital?

CE COMING SOON Oct 19, 2026 6:00 AM CDT
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EMS 20/20 Pregnancy Trouble is Afoot!
Episode 255 Aug 5, 2026 1:46:44

HOOLLDD ME NOW, I'M 8cm FROM THE EDGE... Chris and Spence follow the surprise of a lifetime as a crew navigates a pregnancy call where things get... stuck.

CE Available
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EMS 20/20 Special Edition: Mired Chris Incident
Episode 254 Jul 29, 2026 1:42:38

Spencer gives Chris perhaps this last MYM scenario: an MPS/MCI in which Chris must Command! How does he do? Let us know how his performance was as it may perhaps be the last time! Check out our IG for Spencer's hand drawn map!

CE Available
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EMS 20/20 Prime Time Medicine
Episode 253 Jul 22, 2026 1:54:52

In what has to be the most challenging photoshop job Chris has ever done, the guys tackle a call where a near ethereal patient gives no clues to what could be wrong. And gang, we have follow up... and wow. Just wow.

CE Available
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EMS 20/20 Special Edition: Zoo SNAFU
Episode 252 Jul 15, 2026 1:27:04

Spencer is in the hotseat! And this call is really, really wild. Quick, do you think a heard of elephants can clearly mark an LZ?

CE Available
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EMS 20/20 The Emperor Needs a New Attitude
Episode 251 Jul 10, 2026 1:23:32

Today we hear the tale of Paramedic that has the self awareness of a monarch wearing some new fangled, conditionally visible fabric. Does this bode well for the patient and their partner? Listen and find out!

CE Available
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EMS 20/20 Special Edition: Bringing Back the Bagel
Episode 250 Jun 24, 2026 1:23:44

Chris is in the hotseat as Spencer gives him a call with strong ties to a past episode. Does Chris figure it out in time? Or does he KILL HIS CREW?!?!?!

CE Available
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EMS 20/20 Kemento
Episode 249 Jun 17, 2026 2:05:12

Chris discovers a sound board as Spencer goes through the call... backwards? Start at the end and end at the beginning for the wild ride, complete with dramatic movie quotes.

CE Available
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EMS 20/20 Special Edition | CSI: Truck Stop
Episode 248 Jun 10, 2026 1:54:14

Spencer is in the hot seat and performs quite well! He has the world's most annoying intern, but thankfully a helpful partner and PD as well. How does he do? Listen and find out!

CE Available
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EMS 20/20 My Heart Will (Not) Go On
Episode 247 Jun 5, 2026 2:17:18

Friend of the Show QANTU joins us for a Titanic Sized episode! Will the efforts to pace a patient be the life boat that's needed? Or will this patient be kicked off the floating door and die an icy death?

CE Available
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EMS 20/20 Lives Out: An EMS 20/20 Mystery
Episode 246 May 23, 2026 2:04:22

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

CE Available
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EMS 20/20 Do Not Pass ER
Episode 245 May 19, 2026 1:52:05

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.

CE Available
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EMS 20/20 This Call is Baulder's Dash
Episode 244 May 13, 2026 1:47:19

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.

CE Available
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EMS 20/20 Special Edition: Stroke of (un)Luck
Episode 243 May 6, 2026 1:44:13

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!

CE Available
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EMS 20/20 Gravitating Towards Anaphylaxis?
Episode 242 Apr 29, 2026 1:33:34

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!

CE Available
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EMS 20/20 SUPER Special Edition: Split the Party!
Episode 241 Apr 22, 2026 2:17:00

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...

CE Available
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EMS 20/20 Shake N Bake Boys, I Think We Got a BBQ
Episode 240 Apr 15, 2026 1:47:22

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?

CE Available
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EMS 20/20 PREVIEW: Stranger Lungs
Trailer Apr 13, 2026 15:10

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

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EMS 20/20 Special Edition: Reacting to the Lake
Episode 239 Apr 8, 2026 1:25:26

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!

CE Available
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EMS 20/20 Twisted Tongue Trauma (ish...)
Episode 238 Apr 1, 2026 1:46:35

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....

CE Available
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EMS 20/20 EXCLUSIVE: Stranger Lungs
Bonus episode Apr 1, 2026 2:08:18

A captain and a brand new EMT respond to a breathing problem that gets complicated fast. Chris and Spencer break down the call, the missed clues, and why the basics still matter when everything’s going sideways. This bonus episode is available exclusively to EMS 20/20 subscribers on Long Pause Media.

CE Available
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EMS 20/20 Philip Gets Fried
Episode 236 Mar 18, 2026 2:06:20

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?

CE Available
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EMS 20/20 Special Edition: The Bottom Drops Out
Episode 234 Mar 11, 2026 1:13:23

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?

CE Available
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EMS 20/20 artwork

FlightBridgeED

EMS 20/20

Exclusive261 episodesEducationEN

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.