EMS 20/20

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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.

Spencer Oliver, Christopher M Pfingsten


    • May 7, 2025 LATEST EPISODE
    • weekly NEW EPISODES
    • 1h 26m AVG DURATION
    • 193 EPISODES

    4.9 from 640 ratings Listeners of EMS 20/20 that love the show mention: emt, ems, paramedics, providers, emergency, calls, someone else, really cool, podcasts i ve, seasoned, educational, field, love these guys, thank you guys, dive, dark, learn something, class, good job, balance.


    Ivy Insights

    The EMS 20/20 podcast is an exceptional podcast that I cannot recommend highly enough. From the very first episode, I was hooked and have been spamming my friends and colleagues with some of my favorite episodes. Even though I am not in the human medical care field, I found that the hosts do an incredible job of informing and entertaining a broad range of listeners. They offer solid information, great resources, and present it all in a super fun and engaging way. The hosts are humble and relatable, making it easy for anyone to enjoy this podcast.

    One of the best aspects of this podcast is how educational it is. As a newish ER nurse who has never worked in prehospital care, listening to this show has given me a profound understanding and respect for the things paramedics and EMTs have to deal with on a daily basis. The hosts break down calls and explain medical concepts in a way that is easy to understand, even for someone who isn't in the EMS field. It has truly expanded my knowledge and helped me become a better nurse.

    Another great aspect of this podcast is the entertainment value. The hosts have amazing chemistry and their banter throughout each episode keeps me engaged from start to finish. They inject humor into their discussions while still maintaining professionalism, which makes for an enjoyable listening experience. Additionally, they often dive deep into topics touched upon in previous episodes, providing valuable insights that help me reflect on my own experiences in EMS.

    If I had to point out one potential downside to this podcast, it would be that some episodes may be more relevant or interesting to those already working in the EMS field or studying to become EMTs or paramedics. However, as someone who is not directly involved in EMS, I still find immense value in listening to these episodes. The hosts do a great job of explaining terms and concepts so that even someone without prior medical knowledge can understand and appreciate them.

    In conclusion, The EMS 20/20 podcast is an amazing podcast that offers a unique blend of education and entertainment. Whether you are a seasoned EMS provider, a nursing student, or even just someone interested in learning more about the field, this podcast has something for everyone. The hosts' expertise, humor, and ability to break down complex topics make it a must-listen. I am grateful for the valuable insights and knowledge I have gained from listening to this podcast, and I eagerly await each new episode.



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    Latest episodes from EMS 20/20

    The Request For Calcium Is Denied

    Play Episode Listen Later Aug 3, 2022 96:20


    On today's episode Spencer and Chris exam a broken system and some broken... Calcium Channels? A sweetly named crew takes on an overdose! Do they succeed? Listen and find out!

    Get Out of My Head!

    Play Episode Listen Later May 7, 2025 92:02


    Is it an overdose? Is it trauma? Is it... something else entirely unhinged? Yes. Listen and find out what the guys have to deal with in today's exciting and surprising episode!

    No Right Answers!

    Play Episode Listen Later Apr 30, 2025 112:25


    Chris gives Spencer a maze with no end... or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he miss a vital intervention that leads to a dead end?

    Rage Against The EKG

    Play Episode Listen Later Apr 23, 2025 93:22


    Is this EKG even for the right patient? A wild call with everything from pediatric to... significant OLMC considerations causes the guys to call in some backup... this time in the form of Dr. Michael Lauria! Can the team find some useful lessons with a little help? Listen and find out!

    Special Edition: Crafting a Plan

    Play Episode Listen Later Apr 16, 2025 94:53


    Chris is given the mother of all scenarios where a pediatric patients takes... well, all the medications. PLUS! We introduce the coveted DICE ROLL to spice things up! Just because Chris asks for it doesn't mean he'll get it! Luck of the draw is at play in this week's episode. VOTE ON INSTAGRAM!

    Disappearing Leadership

    Play Episode Listen Later Apr 9, 2025 134:31


    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.

    Special Edition: Bled Too Much? Is That A Thing?

    Play Episode Listen Later Apr 2, 2025 84:54


    SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel!

    Only Anaphylaxis... and Nothing More..?

    Play Episode Listen Later Mar 26, 2025 101:46


    Is this a case of a LETHAL distracting injury? Can there ever be such a thing? Is an amped up responder with a "just-go" mentality in the right? Listen and find out!

    Special Edition: Respiratory Kombat

    Play Episode Listen Later Mar 19, 2025 61:52


    Chris is in the hotseat and his patient is in respiratory distress and making alllll the sounds. How does Chris hold up to this onslaught of respiratory trouble? Vote on our Instagram at @ems2020podcast!

    Phony Chest Pain

    Play Episode Listen Later Mar 12, 2025 83:38


    Chest pain? Check. Sus ECG? Check. STEMI? Not check. A very tired Chris and a nerded out Spencer (12-leads... go figure) give MAXIMUM effort in today's call with a curious conclusion.

    Special Edition: Frat House Fever

    Play Episode Listen Later Mar 5, 2025 46:37


    Can Spencer handle the heat? Or really... can his patient? How does Spencer do when faced with a "tough" frat bro who has a fever that just won't quit? Vote now on our Instagram!

    The EMT and The Sea

    Play Episode Listen Later Feb 26, 2025 100:30


    ...of bodily fluid. The guys set sail on an adventure to see what they can find on a particularly... sticky... call. Also... IT ENDS WITH A SONG!

    Special Edition: Look at This Patient's Sats

    Play Episode Listen Later Feb 19, 2025 44:40


    Spencer puts Chris in the hotseat with an... anxiety call? Does Chris wind up being a big rockstar or will he never make it as a wise man? Check out @ems2020show on Instagram and VOTE!

    Rocko's Modern Wreck

    Play Episode Listen Later Feb 12, 2025 82:21


    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!

    Special Edition: Who Wants To Be Not Dead?

    Play Episode Listen Later Feb 6, 2025 77:28


    Spencer winds his mind around a call where a patient is heroically pulled from a fire! But they are, unfortunately, lacking a pulse. How does Spencer stack up? Check our IG to vote!

    Neo Leaves the Matrix

    Play Episode Listen Later Jan 29, 2025 111:32


    Chris and Spence try and figure out what's real and what's not on a call where an altered man wounds up getting taken to the way wrong place. The result? Not good. Not good at all.

    Special Edition: Honey, I Shrunk the Airway

    Play Episode Listen Later Jan 22, 2025 55:13


    Spencer fires off a devious pediatric call where Chris is forced to weight something versus nothing! Vote on Chris' performance on Instagram!

    The View From Halfway Down

    Play Episode Listen Later Jan 15, 2025 109:55


    **WARNING this episode deals with the topic of suicide** Clinical Toxicologist and host of The Poison Lab Dr. Ryan Feldman is BACK! The thruple review a call where the patient intentionally ingests Sodium Nitrate and an EMS crew struggles to keep up with the patients rapid decline. What, if anything, can they do? Listen and find out!

    halfway ems ryan feldman
    Special Edition: Drop Kick Syndrome

    Play Episode Listen Later Jan 8, 2025 78:53


    The Special Editions are back! We kick it off with an absolute doozy of a breathing problem and lungs that are so... clear? Listen and see if Spencer suffocates or if his performance is a breath of fresh air.

    SquKid Game

    Play Episode Listen Later Jan 1, 2025 105:58


    Attention Players: A crew heads to a traffic accident with multiple patients and is assigned to care for a 3.517892 year old child with a leg injury... or ARE THEY?

    Panic! At the OR

    Play Episode Listen Later Dec 18, 2024 122:40


    The guys get so emo when an outpatient clinic panics and... helps? Is this a case of a sick patient or patient made sick? Listen and find out!

    Special Edition: ENDGAME

    Play Episode Listen Later Dec 11, 2024 57:25


    In a bid to clench the win, Chris navigates a chest pain call from the Master Your Medics 100 Patient Scenarios Book! Can he put up a strong enough performance and force Spencer to enjoy Dutch Bros? Or will he be dining on Salmon Bisque? VOTE ON INSTAGRAM! THEIR FATES ARE IN YOUR HANDS!

    Out of Leadership

    Play Episode Listen Later Dec 4, 2024 113:01


    A trauma call with a complicated patient and a ship that desperately needs a captain. Does the crew get it together or is it the end of the world as we know it?

    Special Edition: Stroke of Genius

    Play Episode Listen Later Nov 27, 2024 68:00


    WE FINALLY KNOW THE PUNISHMENT FOR THE LOSER! Also, Spencer is given a complex stroke call that needs an airway! Does he recognize it? Does he act appropriately? Let us know how you think he did below!

    The Significant Intrusion Album

    Play Episode Listen Later Nov 20, 2024 127:02


    A car split hot dog style... a medic that is rude and disengaged... a massive med error... what isn't there to love about this week's episode?! Tune and find out just how wild things get in this week's episode!

    Special Edition: Heli Horror with Eric Bauer

    Play Episode Listen Later Nov 13, 2024 88:24


    Join Chris, Spencer AND SPECIAL GUEST **ERIC BAUER** as the team sift through a transfer that has all the bells and whistles: an intubation, a med error, a crew conflict... this one has it all!

    An AMS Call For Gifted EMT's

    Play Episode Listen Later Nov 6, 2024 111:37


    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!

    Special Edition: Chris Seizes

    Play Episode Listen Later Oct 30, 2024 50:44


    We're back for another Master Your Medics Special Edition! Spencer tosses Chris a hot hot potato and Chris... well Chris tries. Does he need a thermometer or a calculator? Find out!

    Greased Lightning

    Play Episode Listen Later Oct 23, 2024 94:15


    Which is the best food product to cover a burn patient in? Spoiler: none. Join the guys as we learn from burn unit RN Erin Horrax that math sucks, patient advocacy is great, and pain meds are pretty darn cool too.

    Special Edition: Spencer Kills

    Play Episode Listen Later Oct 16, 2024 53:47


    First rule about EMS 20/20... talk about it, constantly. Second rule... judge Spencer on our Instagram! Does he nail this code 99 call? Does he leave a lot to be desired? Check out the poll on IG @ems2020show!

    We All Scream For Levophed!

    Play Episode Listen Later Oct 9, 2024 123:45


    Spence, Chris, and the host of Nine One One Nonsense SAMANTHA BRAWLEY take on a critical care transport that was cold from the get go. The fish truly rots from the head as a doctor sends a patient on the wrong medication and leaves a crew with no alternatives...

    Special Edition: Ruptured Confidence

    Play Episode Listen Later Oct 2, 2024 55:39


    In this weeks MASTER YOUR MEDICS SPECIAL EDITION, Spencer throws Chris a call that requires both clinical prowess and bedside expertise as Spencer hopes to even the odds. VOTE ON OUR INSTA!

    How I (didn't?) Kill Your Mother

    Play Episode Listen Later Sep 25, 2024 115:55


    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...

    Special Edition: Lung Blooder

    Play Episode Listen Later Sep 18, 2024 58:22


    CHECK OUT OUR INSTA AND VOTE! Spencer is dealt a HARD airway call by a cruel Chris! Listen and see how he does and vote to let us know how you feel!!

    Chest Burster

    Play Episode Listen Later Sep 11, 2024 92:34


    Spencer brings a call that is totally just anxiety. Honestly, no need to listen to the episode this week, nothing is wrong with the patient. Not at all. Move along. Sign this Refusal to Listen. Maybe have a friend listen if you really think you need it.

    Special Edition: Will Chris Choke?

    Play Episode Listen Later Sep 4, 2024 42:03


    As payback, Spencer gives Chris a pediatric airway call. Will Chris choke? Head to @ems2020show on Instagram and vote for Chris' score!

    Running Up That SpO2 (Hopelessly)

    Play Episode Listen Later Aug 28, 2024 101:17


    The SpO2 climbs while the patient declines? What?! A fed up patient and Paramedic who, if they only could, would swap places with just about anyone on this week's call!

    Special Edition: Spencer Gets Breathing Room

    Play Episode Listen Later Aug 21, 2024 28:38


    In today's Master Your Medics Special, Chris throws Spencer a pediatric breathing difficulty to see if he pulls ahead or falls behind in the currently 1-1 match between the the hosts!

    Speeding Towards Sedation

    Play Episode Listen Later Aug 14, 2024 99:26


    Is less more? Is more less? When a patient's mental baseline is uncertain, how much EMS is too much EMS? Listen and find out to see if the guys can right the speeding bus before thing blow up!

    Special Edition: Chris is on Shaky Ground

    Play Episode Listen Later Aug 7, 2024 29:23


    Master Your Medics has sponsored today's episode where Spencer tests Chris with an altered LOC call. Does Chris get the shakes or does he tie up the score?

    Wonka's Weedy Wallop!

    Play Episode Listen Later Jul 31, 2024 98:12


    Wow. Spencer tries to outright murder Chris with a litany of system issues and leaving equipment behind as a Paramedic gets assaulted and an EMT gets abandoned. Listen now and see if Chris survives this week's episode!

    Special Edition: Pass or Flail?

    Play Episode Listen Later Jul 24, 2024 38:15


    For the first time ever, Chris and Spencer will be squaring off to see who can pass the test the best as the guys test one another using the 100 Patient Scenarios book by Master Your Medics! In this episode, Chris serves up a trauma call to see if Spencer can manage. Check out the masteryourmedics.com bookstore and get a copy of the 100 Patient Scenarios Book today!

    UnTrue Lies

    Play Episode Listen Later Jul 17, 2024 110:53


    Chris becomes numb to crews leaving kits out in the rig... but no worries! His senses are revitalized as apathy encroaches upon an unsuspecting intern and things go from bad to worse to bullshit! Let's see what the guys think in this week's episode!

    We Did Not Plan For This

    Play Episode Listen Later Jul 3, 2024 111:15


    What happens when you have talented medics at a standby event... with no operation plan? Frustration and a little hilarity is what happens, and Spencer and Chris are here again to break it all down. PLUS! Are we going back to weekly content??? Maybe...

    Under the Bridge

    Play Episode Listen Later Jun 19, 2024 101:55


    Can you fall from a bridge onto a steel barge and survive? Maybe. Chris and Spence go on an adventure where vehicles are commandeered and daring rescues are made in one of the most atypical calls we've had in quite some time!

    Hurt

    Play Episode Listen Later May 29, 2024 102:51


    EMS can be dangerous. Though incidents that truly threaten the lives of responding crews are not common, his leadership responds and supports those on the front lines matters.

    All The Small Pills

    Play Episode Listen Later May 22, 2024 112:03


    Chris and Spencer need a little help from an expert. Enter Dr. Ryan Feldman, Clinical Toxicologist and host of The Poison Lab Podcast! A patient takes everything they can get their hands on, but of all the pills... which one is the worst? Find out on this weeks episode!

    pills enter dr ryan feldman
    LEGO my V-Tach!

    Play Episode Listen Later May 8, 2024 98:11


    "Stop shocking me!!" Is the quote of the day when listening to this episode! Spencer and Chris delve into a fall patient then ends up being just a little bit more than a band-aid. Can the crew follow the instructions and build a great call out of loose parts?

    T is for Terrible Manners

    Play Episode Listen Later Apr 24, 2024 103:29


    N is for neuro symptoms, S is for stroke, and U is for uncaring agency that needs a reality check. What do you do when a responding agency is responding angrily? Listen and find out!

    Please Don't Take Me There

    Play Episode Listen Later Apr 10, 2024 138:27


    So what do you do when the nearest "appropriate" hospital is actually the lair of the Shredder? Do you pass it up or go by the book? Listen to this week's episode and see if the Turtles go rogue or following the teachings of Master Splinter.

    It's Just My Arm... Promise.

    Play Episode Listen Later Mar 27, 2024 92:13


    When is it ever really as easy at it seems? Take a helluva dive with the guys as they figure out what was missed as a vaping patient complains about their arm.

    Quick! To The Bat Scanner!

    Play Episode Listen Later Mar 13, 2024 104:05


    Well now here's a fun one: what happens when a fall patient who just needs a hand up suddenly becomes an altered patient? Find out in this week's totally copyright infringement free episode!

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