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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 Pfingsten, Spencer Oliver
268 episodes Education 192 with CE

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EMS 20/20 Unraveling Chest Pain
Episode 267 Oct 28, 2026 1:42:38

Chris brings an episode to Spencer this time around, and Spencer tries to unravel the mystery of a long buried threat in a patient's chest. In this flight oriented episode, can Spencer end the curse, or is everyone taken out by a plague?

CE Available
Casual 0% CE 0%
EMS 20/20 CO Too
Episode 265 Oct 14, 2026 1:35:00

How many times can a single crew run CO poisoning calls in one day? Has Mauly returned to exact her revenge on humanity? In a call that boils Chris' blood (like that's hard to do...), a single ambulance crew has a lot to deal with as they find themselves in an ugly predicament.

CE Available
Casual 0% CE 0%
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 Available
Casual 0% CE 0%
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 Available
Casual 0% CE 0%
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 Available
Casual 0% CE 0%
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
Casual 0% CE 0%
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
Casual 0% CE 0%
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
Casual 0% CE 0%
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
Casual 0% CE 0%
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
Casual 0% CE 0%
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
Casual 0% CE 0%
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
Casual 0% CE 0%
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
Casual 0% CE 0%
EMS 20/20 In The Wake of Stabby McStabberface
Episode 231 Feb 20, 2026 1:43:44

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?

CE Available
Casual 0% CE 0%
EMS 20/20 Control Bleeding and Emotions
Episode 225 Jan 7, 2026 1:49:28

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.

CE Available
Casual 0% CE 0%
EMS 20/20 Special Edition: The Shootout
Episode 218 Nov 12, 2025 1:42:01

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!

CE Available
Casual 0% CE 0%
EMS 20/20 Freedom From Incompetence!
Episode 217 Nov 5, 2025 1:46:40

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!

CE Available
Casual 0% CE 0%
EMS 20/20 Sus 4 CO
Episode 200 Jun 25, 2025 2:03:25

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!

CE Available
Casual 0% CE 0%
EMS 20/20 Prepare for Unforeseen Consequences
Episode 196 May 28, 2025 1:21:46

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!

Casual 0%
EMS 20/20 Disappearing Leadership
Episode 190 Apr 9, 2025 2:14:31

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.

Casual 0%
EMS 20/20 Rocko's Modern Wreck
Episode 182 Feb 12, 2025 1:22:21

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!

CE Available
Casual 0% CE 0%
EMS 20/20 An AMS Call For Gifted EMT's
Episode 169 Nov 6, 2024 1:51:37

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!

CE Available
Casual 0% CE 0%
EMS 20/20 How I (didn't?) Kill Your Mother
Episode 163 Sep 25, 2024 1:55:55

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...

CE Available
Casual 0% CE 0%
EMS 20/20 artwork

FlightBridgeED

EMS 20/20

Exclusive268 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.