A couple of fish are taken to school as Clownfish and Anglerfish learn the finer points of time management. Does it cost the patient dearly? Does it even matter? Would Chris have done any better? Find out on this weeks episode of EMS 20/20!

Abdominal pain turns code turns DOUBLE CODE. A seasoned Paramedic finds herself alone at the top of the EMS food chain trying to get pulses back in not one but two people who really, really need pulses. How does she manage the chaos? Listen and find out! ALSO: New intro that Chris changed at the last minute... sorry S…

Spencer brings a case with a patient that is absolutely totally fine...until he absolutely totally isn't. A trainee and his trainer let their hopes for the best obscure the worst in a case that even had Chris shrugging his shoulders.

Chris and Spence talk about a drowning Paramedic... er, patient! Maybe both? What happens when the sole Paramedic on scene can't pull the trigger? Listen to find out as the guys talk about rapid and delayed sequence intubation as well the pushing the limits of the scope of practice!

This week Chris and Spencer do... nothing! Spencer is out helping areas affected by the fires here in Oregon as on site medical staff. But no worries! Next week we will be back on track with a new episode!

The guys are joined by Dr. Chris Seitz, and ER physician who helps bring some much needed perspective to last weeks complex episode. Was CPAP the right thing to do? Were pressers needed? What about intubation? It all gets answered on this week's deep dive! Need to pass your NREMT exam? Check out Seitz and Sirens and…

The guys follow a harrowing call where two Paramedics, Dingo and Corgi, come to a crossroad on a very ill patient. The crew will need to make a decision on how to treat this critically sick patient. Are they able to make the right choice? Are they able to make a choice at all? In the follow up episode next week, we wi…

Soft Shell returns from last week as Spencer and Chris discuss the ins and outs of subarachnoid bleeds. What can cause them, what they can do to the patient, and what we can do in the field, the guys cover it all as they review Soft Shell's redemption.

As a freshly minted lead Paramedic, Soft Shelled Turtle comes across a patient with a telling set of symptoms that go from bad to worse. To make matter more interesting, Softy decides that the patients condition is better delivered as a surprise to receiving ER, leading to pure pandemonium.

This week's episode is a deep dive into what Lone Wolf nailed in They Have A History of Heart. Spencer and Chris talk about talking to patients, the one skill you need on quite literally every call, but the one skill that few have truly mastered... including us!

Lone Wolf, an experienced Paramedic, puts on a master class of communicating with a jackass of a patient... but makes one single misstep that almost costs the patient their life! Chris and Spence review a call that could be all too real to anyone in the field as a difficult patient makes history taking a challenge.

Spencer and Chris talk about Sedatives and Paralytics commonly used in EMS. Why should you pick one over the other? What are the pros and cons of each? Did you know that paralysis does not equal sedation? Because it really doesn't.

Nicknames return! A crew secures an airway in a calm, decisive manner and begins transport on their trauma patient. Easy going from here on in, right? ...right?

Chris and Spencer identify the key skill to being a good PIC while examining a leaderless scene. A team overstays their welcome, an airway lingers for too long, and a crew member disappears.

Spencer and Chris dig into a call where assumptions run wild and a Paramedic makes an attempt to coach someone out of a life threatening disease.

In the first ever Fight Night episode, Spencer and Chris debate whether or not expensive dummies are worth the cost! Let us know who won!

Spencer and Chris pick a part a call where a tube stays in place longer than it should and the crew doesn't stay in place long enough. An end tidal of 0 and a load-and-go code 99? Someone messed up... or did they?

Chris and Spencer dig into a call where a patient has a mysterious onset of sudden hypotension. A lone Paramedic has hard choices to make with little in the way of vital signs, presenting decision making roadblocks to overcome.

Chris and Spencer talk about a call that just doesn't stop getting worse as a mix of veteran and new providers tackle a chest pain patient with a complicated history.

Chris and Spencer review a scenario in which a disagreement over a pediatric patient leads to delayed treatment.

Spence and Chris discuss the pitfalls of assessment short cuts as they review a scenario that gets harder and harder to listen to as the call goes on.