EMS 20/20

Christopher M Pfingsten

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.

  • 1 hour 32 minutes
    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?
    17 December 2025, 3:00 pm
  • 1 hour 22 minutes
    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!
    10 December 2025, 3:00 pm
  • 1 hour 56 minutes
    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?
    3 December 2025, 3:00 pm
  • 1 hour 7 minutes
    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...
    26 November 2025, 3:00 pm
  • 1 hour 30 minutes
    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?
    19 November 2025, 3:00 pm
  • 1 hour 42 minutes
    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!
    12 November 2025, 3:00 pm
  • 1 hour 46 minutes
    Freedom From Incompetence!
    The guys follow a crew that is mired with questionable choices and potentially a lack in leadership? Should this call have ever been ran? Will the mighty bald eagle weep for this patient? Listen and find out!
    5 November 2025, 3:00 pm
  • 1 hour 39 minutes
    Special Edition: Did They Slip or Knot?
    On today's special edition, Chris is put in the hotseat by Spencer on an altered LOC patient with a significant language barrier. Can Chris translate this difficult call into a success? Vote now on Instagram!
    29 October 2025, 2:00 pm
  • 1 hour 44 minutes
    Trouble In The PlayPlace
    Special guest Patrick Pianezza, the writer of CODE 3 (streaming now on Apple and Amazon) joins the guys on a pediatric case with ever so helpful 'nurse' bystander. Do the guys sort things out and figure out what's what (and importantly, whose who)? Listen and find out!
    23 October 2025, 12:20 am
  • 1 hour 33 minutes
    Slay Thy Assumptions!
    Spencer brings a call riddled with stumbles from both the patient and a seasoned Paramedic. Does this field training need some training of their own? Listen and find out!
    15 October 2025, 2:00 pm
  • 1 hour 19 minutes
    Special Edition: Heated Reaction
    Spencer finds himself in the hot seat on a hot day in a hot field with unresponsive patient. What could be the problem? Or problems? Does Chris make things harder? Of course he does. VOTE now!
    8 October 2025, 2:00 pm
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