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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.
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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.
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Episodes

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Published 2024-08-21

Special Edition: Spencer Gets Breathing Room

28 min
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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!
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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!
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Published 2024-08-14

Speeding Towards Sedation

99 min
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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!
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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!
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Published 2024-08-07

Special Edition: Chris is on Shaky Ground

29 min
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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?
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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?
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Published 2024-07-31

Wonka's Weedy Wallop!

98 min
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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!
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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!
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Published 2024-07-24

Special Edition: Pass or Flail?

38 min
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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!
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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!
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Published 2024-07-17

UnTrue Lies

110 min
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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!
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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!
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Published 2024-07-03

We Did Not Plan For This

111 min
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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...
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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...
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Published 2024-06-19

Under the Bridge

101 min
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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!
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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!
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Published 2024-05-29

Hurt

102 min
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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.
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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.
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Published 2024-05-22

All The Small Pills

112 min
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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!
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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!
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Published 2024-05-08

LEGO my V-Tach!

98 min
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"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?
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"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?
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Published 2024-04-24

T is for Terrible Manners

103 min
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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!
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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!
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Published 2024-04-10

Please Don't Take Me There

138 min
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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.
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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.
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Published 2024-03-27

It's Just My Arm... Promise.

92 min
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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.
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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.
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Published 2024-03-13

Quick! To The Bat Scanner!

104 min
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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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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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Published 2024-02-28

Put The Bunny Back

97 min
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Does this weeks crew get conned into using air for their cardiac patient? Spencer and Chris talk nitro, 90's movies, and Nicholas Cage in this weeks clip filled episode!
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Does this weeks crew get conned into using air for their cardiac patient? Spencer and Chris talk nitro, 90's movies, and Nicholas Cage in this weeks clip filled episode!
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Published 2024-02-14

Systemic Failure

132 min
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Each and everyone of Chris' triggers are pulled in this harrowing tale of herding cats. A severely injured/ejected patient is treated by a severely injured system... and the result is... not great.
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Each and everyone of Chris' triggers are pulled in this harrowing tale of herding cats. A severely injured/ejected patient is treated by a severely injured system... and the result is... not great.
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Published 2024-01-31

It's All About the Delivery

96 min
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Everyone's favorite call type is front and center as an expecting mother does what expecting mothers do. Listen as Chris makes terrible guesses at this episodes theme... but also be sure to listen to our SPECIAL ANNOUNCEMENT!
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Everyone's favorite call type is front and center as an expecting mother does what expecting mothers do. Listen as Chris makes terrible guesses at this episodes theme... but also be sure to listen to our SPECIAL ANNOUNCEMENT!
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Published 2024-01-17

Vaguely Non-Emergent?

109 min
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Does a crew let the dispatch information lead them astray? Are they able to see through the smoke screen of a convoluted history? Listen and find out if being sick for two days means you won't see a third!
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Does a crew let the dispatch information lead them astray? Are they able to see through the smoke screen of a convoluted history? Listen and find out if being sick for two days means you won't see a third!
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Published 2024-01-03

Pulling a Code Out of a H.A.T.

112 min
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Sometimes illusions of trauma can get the better of us. Spencer and Chris see if the crew in today's episode is fooled by sleight of... car, or if they manage to see past the tricks and get to the bottom of the magic hat.
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Sometimes illusions of trauma can get the better of us. Spencer and Chris see if the crew in today's episode is fooled by sleight of... car, or if they manage to see past the tricks and get to the bottom of the magic hat.
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Published 2023-12-21

That's Kenough Ketamine!

96 min
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It's just a code one leg pain... how hard could it be? Spencer and Chris find out in today's episode as the guys examine easy errors with difficult consequences!
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It's just a code one leg pain... how hard could it be? Spencer and Chris find out in today's episode as the guys examine easy errors with difficult consequences!
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Published 2023-12-06

Salmon Stabs Spaghetti

103 min
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Chris and Spence review a call that goes clinically... fine. But what happens when the patient suddenly doesn't like the direction the call is going? And what happens when a doctor is.... WRONG?!
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Chris and Spence review a call that goes clinically... fine. But what happens when the patient suddenly doesn't like the direction the call is going? And what happens when a doctor is.... WRONG?!
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Published 2023-11-22

Choosy Medics Choose STEMI

108 min
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The guys review a nutty situation where a responder is sandwiched between a DNR and a very serious diagnosis... and also their partner...
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The guys review a nutty situation where a responder is sandwiched between a DNR and a very serious diagnosis... and also their partner...
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Published 2023-11-08

A *Very* Sticky Case

100 min
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Spencer and Chris bring in the big guns from the Standard of Care podcast, Samantha Johnson and Nick Adams! This episode is probably one of the most disturbing cases of neglect we've reviewed in a while, so you've been warned!
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Spencer and Chris bring in the big guns from the Standard of Care podcast, Samantha Johnson and Nick Adams! This episode is probably one of the most disturbing cases of neglect we've reviewed in a while, so you've been warned!
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Published 2023-10-25

Railroading Rod

175 min
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Ashlyn O'Dell joins Chris and Spence as the trio try and be very useful engines on a trauma call! With an object stuck... somewhere and a rather un-useful little engine on scene, the team has their work cut out for them.
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Ashlyn O'Dell joins Chris and Spence as the trio try and be very useful engines on a trauma call! With an object stuck... somewhere and a rather un-useful little engine on scene, the team has their work cut out for them.
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Published 2023-10-11

You're Tearing Up My Heart

136 min
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It might sounds crazy, but it ain't no lie... Spencer and Chris try to navigate what to do when a big mistake is made on a severe trauma patient... and it's not a mistake that is hard to make, either.
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It might sounds crazy, but it ain't no lie... Spencer and Chris try to navigate what to do when a big mistake is made on a severe trauma patient... and it's not a mistake that is hard to make, either.
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Published 2023-09-27

Avoiding SeDEADtion

91 min
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The guys try to figure out exactly where the line between sedation and death is, and as a bonus, Spencer teaches you how to smoke meth.
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The guys try to figure out exactly where the line between sedation and death is, and as a bonus, Spencer teaches you how to smoke meth.
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Published 2023-09-13

12.875 Kilometer

102 min
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Crossing into Canadian terrain, Spencer and Chris delve into a call where a patient does their best attempt at refusing treatment for their... gunshot wound?
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Crossing into Canadian terrain, Spencer and Chris delve into a call where a patient does their best attempt at refusing treatment for their... gunshot wound?
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Published 2023-08-30

MI Bleed?

103 min
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Chris and Spencer see if they can solve why a man with the most rancid of toots can't stay upright. And also... Chris totally screws up! Also be sure to check out this week's sponsor, In Case at getincase.com/EMS2020!
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Chris and Spencer see if they can solve why a man with the most rancid of toots can't stay upright. And also... Chris totally screws up! Also be sure to check out this week's sponsor, In Case at getincase.com/EMS2020!
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Published 2023-08-16

Who has the Baby!?

122 min
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Spencer throws Chris for a loop by making him critique... himself(ves)? In today's VERY strange episode, two BLS responders care for a sick baby, make a last minute switch on who is doing what, while the patient's mother seems to lose faith. Check out this week's sponsor, In Case at getincase.com/EMS2020 !
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Spencer throws Chris for a loop by making him critique... himself(ves)? In today's VERY strange episode, two BLS responders care for a sick baby, make a last minute switch on who is doing what, while the patient's mother seems to lose faith. Check out this week's sponsor, In Case at getincase.com/EMS2020 !
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Published 2023-08-02

You Can't Make Me!

91 min
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Sometimes patients don't just say no, but sometimes they say f&^$ no! What happens when two responders are confronted by a verbally hostile patient? Does fighting fire with fire work? Spoiler: no, it does not. Check out this episode's sponsor at getincase.com/EMS2020, and use PROMO CODE EMS2020 for $5 off!
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Sometimes patients don't just say no, but sometimes they say f&^$ no! What happens when two responders are confronted by a verbally hostile patient? Does fighting fire with fire work? Spoiler: no, it does not. Check out this episode's sponsor at getincase.com/EMS2020, and use PROMO CODE EMS2020 for $5 off!
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Published 2023-07-19

Methany and the Frog

104 min
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In this week's episode, Spencer tells Chris a tale about meth, altered levels of consciousness, and maybe even child protective services. Also, frogs.
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In this week's episode, Spencer tells Chris a tale about meth, altered levels of consciousness, and maybe even child protective services. Also, frogs.
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Published 2023-07-05

Hive-way to the Danger Zone

91 min
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Can the guys see where (or if) a handful of secret agents went wrong? Did they go wrong? Try to keep up with the twists and turns of this weeks episodes as everything from airway management to scene management is discussed.
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Can the guys see where (or if) a handful of secret agents went wrong? Did they go wrong? Try to keep up with the twists and turns of this weeks episodes as everything from airway management to scene management is discussed.
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Published 2023-06-21

Making a List... For Low SaO2

115 min
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In a Lucky Charms fueled rage, Chris shares his thoughts on what it takes to be a Paramedic before the guys try and figure why a patient is so short of breath. Is it bronchoconstriction? Pulmonary Edema? Heart problems? Listen and find out!
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In a Lucky Charms fueled rage, Chris shares his thoughts on what it takes to be a Paramedic before the guys try and figure why a patient is so short of breath. Is it bronchoconstriction? Pulmonary Edema? Heart problems? Listen and find out!
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Published 2023-06-07

Snapping Necks and Calling Helis

94 min
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So we might not be COPS, but this episode is still bound to make you sweat as an accident in treacherous terrain interrupts the Catalina Wine Mixer. From hiking to helicopters, Chris puts Spence through the paces in this week's episode!
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So we might not be COPS, but this episode is still bound to make you sweat as an accident in treacherous terrain interrupts the Catalina Wine Mixer. From hiking to helicopters, Chris puts Spence through the paces in this week's episode!
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Published 2023-05-24

The Legend of Vent Machina

122 min
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Spencer and Chris roll the dice on today's episode as we follow brave adventurers into the unknown as they set out with a vented patient to a nearby kingdom. What could possibly go wrong? Lots. Lots can go wrong.
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Spencer and Chris roll the dice on today's episode as we follow brave adventurers into the unknown as they set out with a vented patient to a nearby kingdom. What could possibly go wrong? Lots. Lots can go wrong.
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Published 2023-05-10

LetterSTEMI Problems

94 min
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Check out 90 Seconds: The Epic Story of Eli Beer! Support EMS 20/20 by purchasing through our affiliate links below:

Amazon:

https://www.amazon.com/90-Seconds-Story-United-Hatzalah/dp/1422633071?&_encoding=UTF8&tag=ems2020-20&linkCode=ur2&linkId=6bd179cb5c9766c0bf582f235fd9ed9e&camp=1789&creative=9325

ArtScroll (Publisher):

https://www.artscroll.com/linker/EMS2020/Books/9781422633076.html

 

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Check out 90 Seconds: The Epic Story of Eli Beer! Support EMS 20/20 by purchasing through our affiliate links below:

Amazon:

https://www.amazon.com/90-Seconds-Story-United-Hatzalah/dp/1422633071?&_encoding=UTF8&tag=ems2020-20&linkCode=ur2&linkId=6bd179cb5c9766c0bf582f235fd9ed9e&camp=1789&creative=9325

ArtScroll (Publisher):

https://www.artscroll.com/linker/EMS2020/Books/9781422633076.html

 

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Published 2023-04-26

Breaking Blood Vessels

96 min
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In this BLS focused episode, what you get is quintessential EMS 20/20. Multiple treatment options, CVA symptoms with hypotension, complicated crew dynamics, agency culture issues, and Chris ranting about kits.
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In this BLS focused episode, what you get is quintessential EMS 20/20. Multiple treatment options, CVA symptoms with hypotension, complicated crew dynamics, agency culture issues, and Chris ranting about kits.
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Published 2023-04-12

Seizure Victim Unit

91 min
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Is this episode's patient faking a seizure? Does it even matter? Or at least, does it matter more than the anger of a salty medic who terrorizes their trainee? Does THAT matter more than the ensuing medication error?
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Is this episode's patient faking a seizure? Does it even matter? Or at least, does it matter more than the anger of a salty medic who terrorizes their trainee? Does THAT matter more than the ensuing medication error?
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Published 2023-03-29

A-Hip-A

101 min
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After Chris defends his position on TXA, Spencer UTTERLY STUMPS him in this week's episode where a patient is KILLED by HIP PAIN! Spoiler: Patient not actually killed by hip pain.
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After Chris defends his position on TXA, Spencer UTTERLY STUMPS him in this week's episode where a patient is KILLED by HIP PAIN! Spoiler: Patient not actually killed by hip pain.
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Published 2023-03-15

Bad to the (T)Bone

90 min
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Spencer gives Chris some supervisor flashbacks as the guys analyze a call that may send the patient... and maybe even the crew... to their final destination. Listen and find out who lives, who dies, and who escapes death for at least two sequels.
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Spencer gives Chris some supervisor flashbacks as the guys analyze a call that may send the patient... and maybe even the crew... to their final destination. Listen and find out who lives, who dies, and who escapes death for at least two sequels.
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Published 2023-03-01

You Give Love... A Bad Name

110 min
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Spencer let's his playlist decide the title, but can the crew in today's episode decide where all the blood is coming from? Listen and find out! Listen at GuardianCME.com to get free CE!
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Spencer let's his playlist decide the title, but can the crew in today's episode decide where all the blood is coming from? Listen and find out! Listen at GuardianCME.com to get free CE!
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Published 2023-02-15

Concert Concern

95 min
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Today we fly our F-18's while launching our AAM's at some MDMA during and EDM concert! Or maybe it's SSRI's, or SS, or MAO-I's, or TCA's... or maybe we just need to RTB...
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Today we fly our F-18's while launching our AAM's at some MDMA during and EDM concert! Or maybe it's SSRI's, or SS, or MAO-I's, or TCA's... or maybe we just need to RTB...
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Published 2023-02-01

Pandammonia

113 min
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Can Chris navigate his way and find the right direction as Spencer pitches an ALOC curveball? How does the crew do? And why is the receiving doctor so so mean?!
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Can Chris navigate his way and find the right direction as Spencer pitches an ALOC curveball? How does the crew do? And why is the receiving doctor so so mean?!
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Published 2023-01-18

Pacing/Pressor Pressure

101 min
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Special Guests from GuardianCME! Jason Seitz and Dr. Chris Seitz join the guys as they attempt to cook up an answer to a fork in the road on this weeks episode!
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Special Guests from GuardianCME! Jason Seitz and Dr. Chris Seitz join the guys as they attempt to cook up an answer to a fork in the road on this weeks episode!
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Published 2023-01-04

The One Where Bad Stuff Happens

81 min
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Spencer and Chris are there for you in today's episode where a patient is "checked for police". Was the check good enough or should the crew have been more thorough? We also discuss the value of good... and honest... charting.
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Spencer and Chris are there for you in today's episode where a patient is "checked for police". Was the check good enough or should the crew have been more thorough? We also discuss the value of good... and honest... charting.
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Published 2022-12-21

This Call Bugs Me

95 min
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Are we dealing with another Peanut Butter Spider Sandwich situation, or is this title just clickbait? Or is it neither? An altered LOC patient has some curious and life threatening symptoms in this week's episode, and Chris briefly discusses how EMS 20/20 does advertising business at the end... if that's your thing.
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Are we dealing with another Peanut Butter Spider Sandwich situation, or is this title just clickbait? Or is it neither? An altered LOC patient has some curious and life threatening symptoms in this week's episode, and Chris briefly discusses how EMS 20/20 does advertising business at the end... if that's your thing.
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Published 2022-12-07

Teenage Heartbreak

149 min
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Maybe don't overthink the cover art, but do Chris and Spence finally argue about what to do about a really, really sick pediatric patient? Stir the oxygen tanks as the guys try and solve Houston's problem, and check our Facebook and Instagram for the EKG's associated with this episode!
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Maybe don't overthink the cover art, but do Chris and Spence finally argue about what to do about a really, really sick pediatric patient? Stir the oxygen tanks as the guys try and solve Houston's problem, and check our Facebook and Instagram for the EKG's associated with this episode!
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Published 2022-11-23

The Fallout of Fallot

94 min
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The title is not the give away you think it is! The guys follow a BLS crew that responds to the call no one ever wants to respond to. (WARNING: This episode contains sensitive subject matter.)
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The title is not the give away you think it is! The guys follow a BLS crew that responds to the call no one ever wants to respond to. (WARNING: This episode contains sensitive subject matter.)
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Published 2022-11-09

Type 1 For Doctor

92 min
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Type 2 for Billing... Type 1 For Doctor. In today's episode the guys (finally) follow a BLS crew through a confusing call that involves spousal arguments and a good old fashioned dollup of just plain winging it when a patient scares the $*#@ out of his wife.
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Type 2 for Billing... Type 1 For Doctor. In today's episode the guys (finally) follow a BLS crew through a confusing call that involves spousal arguments and a good old fashioned dollup of just plain winging it when a patient scares the $*#@ out of his wife.
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