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EMS 20/20

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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longpausemedia.com/podcasts/ems-20-20

Episodes

Unraveling Chest Pain

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?

2026-10-28
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Special Edition: Mason Stays Cool

Mason joins us in this week's Master Your Medics Special Edition! Mason is given a call with an altered patient... and there more than a few reasons to sift through in this complicated trauma call. How does Mason do? Listen and find out!

2026-10-21
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PREVIEW: Promise Not To Try

A preview of the LongPauseMedia.com EXCLUSIVE EPISODE: Promise Not to Try

2026-10-15
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CO Too

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.

2026-10-14
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Special Edition: Fishing for Mack's AMS

Listener Rick joins the guys and goes fishing for an reason his patient won't get out of a taxi... is it because... THE TAXI DRIVER IS LYING SPY?!?! Listen and find out!

2026-10-07
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Mauly and Me

In today's all BLS episode, a crew runs into a career first (and maybe career worst...) kinda call. Can two EMT's, neither with more than a year of experience and no ALS in sight, pull it off? Have a listen and find out on this week's episode that goes totally off-leash.

2026-09-30
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Special Edition: YOU SHALL BE AVENGED

Listener Sam joins the crew in a call that stinks of old EMS 20/20 episodes... does the listener catch on and solve the case? Do the dice do him dirty? Listen and find out!

2026-09-23
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The Pieces Don't Fit

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?

2026-09-19
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Special Edition: POCUS Ranger

On this weeks Master Your Medics Special Edition, we have Danny Kustra! Known for speaking at FAST conferences and running @dnr_prehospital_education, Spencer gives him a harrowingly difficult call... does he sink or swim? HINT: swimming is easier with sonar...

2026-09-16
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Legal Lessons for a Full Kart

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 shell us moments before the finish line. Legal questions asked and answered in today's wild episode!

2026-09-02
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Unexplained Resuscitation

What happens when you drag a coded patient across the carpet at break neck speed? Can you defib a cigarette? All this and more on this weeks episode as a Canadian crew handles a code down a looooooooong hallway.

2026-08-19
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Special Edition: BOLDY GOING... (...to the ER for lab values)

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?

2026-08-12
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Pregnancy Trouble is Afoot!

HOOLLDD ME NOW, I'M 8cm FROM THE EDGE... Chris and Spence follow the surprise of a lifetime as a crew navigates a pregnancy call where things get... stuck.

2026-08-05
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Special Edition: Mired Chris Incident

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!

2026-07-29
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Prime Time Medicine

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.

2026-07-22
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Special Edition: Zoo SNAFU

Spencer is in the hotseat! And this call is really, really wild. Quick, do you think a heard of elephants can clearly mark an LZ?

2026-07-15
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The Emperor Needs a New Attitude

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!

2026-07-10
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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?!?!?!

2026-06-24
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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.

2026-06-17
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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!

2026-06-10
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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?

2026-06-05
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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

2026-05-23
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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.

2026-05-19
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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.

2026-05-13
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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!

2026-05-06
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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!

2026-04-29
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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...

2026-04-22
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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?

2026-04-15
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PREVIEW: Stranger Lungs

To the whole STRANGER LUNGS episode, head over ems2020.com and get signed up for the EMS 2020 CE platform!

2026-04-13
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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!

2026-04-08
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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....

2026-04-01
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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!

2026-03-25
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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?

2026-03-18
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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?

2026-03-11
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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!

2026-03-04
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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!

2026-02-25
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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?

2026-02-20
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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?

2026-02-11
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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!

2026-02-04
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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!

2026-01-28
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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!

2026-01-21
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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!

2026-01-14
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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.

2026-01-07
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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?

2025-12-31
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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?

2025-12-17
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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!

2025-12-10
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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?

2025-12-03
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Special Edition: Pregnant Pause

Chris is in the hotseat as Spencer gives him a chest pain call... that is interrupted by an MVA... that is interrupted by a pregnancy call... that is interrupted by a seizure call...

2025-11-26
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L.A.S.T. Call

The guys fumble through an interesting call with many odd findings... including a high-end hotel that is well prepared for the arrival of EMS. Can this all BLS crew come to the right conclusion?

2025-11-19
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Special Edition: The Shootout

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!

2025-11-12
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