Petty assumptions get critically in the way as friction between crews cause some waves. Do they recover? Chris and Spencer pull out way too many lessons from just a single call in this weeks episode. 

In their 50th episode, Chris and Spencer analyze a call where a provider finds themselves one on one with a combative mental health patient. Could this have been avoided?

What would Spencer do becomes the name of the game as the guys pull apart a call that is more about what you can't hear than what you can. Does the crew pull it off? Listen and find out!

An absolutely killer episode where Chris is put to the test as he evaluates a syncope patient that... refuses care? Should they have refused? Does Chris miss something? Listen and find out!

Spencer and Chris examine a case where the medical treatment goes smoothly... but the question remains: Who can refuse transport? And is sharing information with police a HIPAA violation? You asked for it, we delivered! Listen to find out!

Two Paramedics approach a patient with vastly different treatment plans in mind... Chris and Spencer are called in to judge who is right and who is wrong. Can they do it? Is there even a clear winner? Find out!

Sometimes we are put in the terrible position to treat one of our own! The guys call in Dr. Seitz from Seitz and Sirens to dissect the treatment of a reaction caused by a sneaky strawberry.

The Delayed Sequence Intubation episode you've all been waiting for! Plus Spiders! Plus Mmmhopps beer! What a time to be alive, and hopefully the crew in this call can keep a very sick patient from falling off the oxygenation cliff!

The guys break down a call where too much of a good thing is administered with catastrophic consequences. What could have prevented this, or could it have been prevented at all? And what should happen to the provider who made the mistake? Listen as this weeks episode explores how easily things can go way wrong!

Mandy Krekora joins the guys to answer your airway questions (RSI vs DSI, anyone?) and dive into a hectic airway nightmare that involves a sleepy giant, vanilla Ensure and an oddly placed trashcan. In addition to being on EMS 20/20, you can learn even more from Mandy on April 5th, 6th, 8th, and 9th as she puts on the…

Chris and Spence review a call where a missed opportunity leads to... an accurate diagnosis? The guys analyze a call that illustrates that while recovering from a mistake is good, not making the mistake in the first place is probably a wee bit better.

Spencer and Chris go over an interfacility transfer gone awry... and they dig deep into the issue of crew integrity. A septic patient with a drug abuse history misses out on critical treatments that may have cost them.

A psychic EMT makes a prediction... but are his psychic abilities any match for another responders experience? Does anyone even make a mistake in this episode? Find out as the guys explore an unpredictable (maybe) call!

In this week's episode, Spencer and Chris dissect a call where two problems met: a tired crew and an oddly presenting patient. Did the crew overcome their fatigue to perform in a way that makes EMS proud? Spoiler: Nope.

Chris and Spencer examine a call where a patient goes from pretty OK to really, really bad. Is this something that school could have prepared the crew for? Or is this one of those reality check moments?

An unusual pairing of Paramedics in an unusual setting in an unfamiliar area creates for an ungood circumstance. Spencer and Chris go the distance in dissecting a call that takes place in the middle of a foot race!

The guys review a substantially disjointed call in which a patient is coded... or are they? How can a densely, perhaps even over-resourced system miss THIS?

Leading your first code with minimal resources can be likened to being birthed as a baby giraffe learning what legs are for. Spencer and Chris review a new Paramedic doing exactly that as they come back with another episode aimed at helping new providers climb those first hurdles!

Spencer nerds out over an interesting 12-lead and flexes his EKG knowledge as the guys analyze a call in which a responder misses a STEMI... or did he?

Crew's respond to a care facility where a medication was given incorrectly... and that's not even the worst thing that happens... Listen to this weeks episode of EMS 20/20 to find out how a bad situation can be made even worse!

What happens when a patient starves themselves (almost) to death? What's the difference between a clinical overreaction and a Dr. House moment? In an EMS 20/20 first ever double header, the guys explore two calls with some unique challenges and an overarching theme.

Alcohol, boyfriends, alcohol, a dog, and more alcohol. Spencer and Chris analyze a call where an experienced crew deal with an untrusting patient, a loud (but hilarious) boyfriend, and a dog named Falcor that really couldn't care less.

If it sounds like a duck, it must be one, right? Have a listen as Paramedics Baller, Shot Caller, and Impala unsuccessfully shock a patient. You too can be shocked: For the first time ever in the history of the universe... CHRIS IS WRONG.

Spencer and Chris unravel a complicated scene that didn't need to happen. The only thing harder to find than this patients pulse is the history of his present illness! Do they ever find it? Have a listen and find out!

Chris and Spencer review one helluva a breathing call! That's right, two back to back breathing episodes, but this one has a special twist: what happens when the thing that always works... doesn't? And can adding a doctor to a call always make things better? Have a listen and find out!

Q-tip and Cotton Ball respond to an urgent care clinic where staff has a reasonable plan with unreasonable expectations for a young asthma patient. The call goes from bad to better to way worse as Chris and Spencer comb through the details in this week's episode!

A new Paramedic careens down an unsafe road but is thankfully stopped before something disastrous happens by a more experienced Paramedic... only to miss other warning signs further down the road. Have a listen as Chris and Spencer map out a safe route through a tricky situation!

A Paramedic does a fantastic thorough assessment, thinks outside the box, and delivers appropriate care, but the patient still wants some space from being alive. Is there something the crew could have done better after all? Have a listen and find out!

CONTROVERSY WARNING! So just how good are pre-hospital providers at evaluating and treating pain? Can we call a faker out with any accuracy? Are we giving too much pain medication? Too little? Dr. Seitz from https://www.seitzandsirens.com joins Chris and Spencer in one of the most controversial episodes yet!

Spence and Chris talk about a call where two Paramedics cross their fingers, close their eyes, and just hope a call goes away. But guess what? In EMS, you don't get to do that. Listen and find out why!