Special Edition: Bringing Back the Bagel
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?!?!?!
Jun 24, 2026•1 hr 24 min•Ep. 250
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.
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Episodes
Kemento
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.
Jun 17, 2026•2 hr 5 min•Ep. 249
Special Edition | CSI: Truck Stop
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!
Jun 10, 2026•1 hr 54 min•Ep. 248
My Heart Will (Not) Go On
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?
Jun 05, 2026•2 hr 17 min•Ep. 247
Lives Out: An EMS 20/20 Mystery
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
May 23, 2026•2 hr 4 min•Ep. 246
Do Not Pass ER
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.
May 19, 2026•1 hr 52 min•Ep. 245
This Call is Baulder's Dash
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.
May 13, 2026•1 hr 47 min•Ep. 244
Special Edition: Stroke of (un)Luck
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!
May 06, 2026•1 hr 44 min•Ep. 243
Gravitating Towards Anaphylaxis?
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!
Apr 29, 2026•1 hr 34 min•Ep. 242
SUPER Special Edition: Split the Party!
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...
Apr 22, 2026•2 hr 17 min•Ep. 241
Shake N Bake Boys, I Think We Got a BBQ
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?
Apr 15, 2026•1 hr 47 min•Ep. 240
PREVIEW: Stranger Lungs
To the whole STRANGER LUNGS episode, head over ems2020.com and get signed up for the EMS 2020 CE platform!
Apr 13, 2026•15 min
Special Edition: Reacting to the Lake
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!
Apr 08, 2026•1 hr 25 min•Ep. 239
Twisted Tongue Trauma (ish...)
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....
Apr 01, 2026•1 hr 47 min•Ep. 238
Special Edition: Chris Sucks at Electrolytes
Chris gets a call that he... isn't the most proud of. But Spencer feels he did OK+ ! What do you think? Vote now on Instagram!
Mar 25, 2026•1 hr 14 min•Ep. 237
Philip Gets Fried
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?
Mar 18, 2026•2 hr 6 min•Ep. 236
Special Edition: The Bottom Drops Out
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?
Mar 11, 2026•1 hr 13 min•Ep. 234
The Last POLST Bender
The guys handle a code that gets maybe too handled? Or not handled enough? When does a POLST form count? Listen and find out!
Mar 04, 2026•1 hr 23 min•Ep. 233
Special Edition: Signs Point to Fracture
Spencer causes Chris to bounce off the walls by giving him a pediatric trauma patient with a clueless dad! How does he manage? Vote now!
Feb 25, 2026•1 hr 9 min•Ep. 232
In The Wake of Stabby McStabberface
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?
Feb 20, 2026•1 hr 44 min•Ep. 231
Special Edition: I Have Better Things To Do
Chris gives Spencer the greatest challenge of all: a distracted Supervisor as a partner. Can Spencer redirect a partner who clearly has more important things to do? Or will he lose his famous cool?
Feb 11, 2026•1 hr 7 min•Ep. 230
Red Dead Redemption Too?
In a gunslinging adventure, the bullets may not be the biggest problem that comes from today's episode. Did we give up before we even got started? Listen and find out!
Feb 04, 2026•2 hr•Ep. 229
Special Edition: Fierce Resistance, Betrayal
Chris is given a scenario with a stubborn patient and… a stubborn ambulance Paramedic? Spencer puts Chris on the fire engine this time around, let’s see if he burns! Vote!
Jan 28, 2026•1 hr 21 min•Ep. 228
When Things Get Skrewy
How do you convince an unaltered but still kind of altered patient to go to the hospital? Especially when they claim they are being tormented by random people who are stealing their sandwich fixings? Listen and find out!
Jan 21, 2026•1 hr 43 min•Ep. 227
Special Edition: Branching Diagnosis
In a traumatic twist, Spencer finds himself planning to extricate a patient from... a tree? Does he make the right call? Can he remove this patient from a STICKy situation? Vote now on Instagram!
Jan 14, 2026•1 hr 33 min•Ep. 226
Control Bleeding and Emotions
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.
Jan 07, 2026•1 hr 49 min•Ep. 225
Special Edition: Sepsis on Shaky Ground
Chris digs deep on a patient assessment and also on the structural integrity of the building he's in. Will he do a commendable job, or will his plans... fall through?
Dec 31, 2025•1 hr 36 min•Ep. 224
Code Alone
Holy wow is this episode... wild. Every calamity that can occur, will occur, especially if you are unprepared. It's almost as though being unprepared invites a swinging paint can to the face. How does today's crew handle a heat related call? Or is it an MI... or is it respiratory?
Dec 17, 2025•1 hr 32 min•Ep. 223
Special Edition: Drowning Fool
Can Spencer manage some absolutely wrecked lungs? Or will he drown in the salty sea? Vote and let us know what you think! @ems2020show on Instagram!
Dec 10, 2025•1 hr 23 min•Ep. 222
The Toxicity of This Lady
Dr. Ryan Feldman from The Poison Lab joins us again to talk about a patient that took... all of it. Like all of it. All gone. Can she be saved?
Dec 03, 2025•1 hr 57 min•Ep. 221
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