

EMS 20/20
Long Pause Media | FlightBridgeED
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.
Episodes
Mentioned books

Dec 3, 2025 • 1h 57min
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?

Nov 26, 2025 • 1h 7min
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...

Nov 19, 2025 • 1h 31min
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?

Nov 12, 2025 • 1h 42min
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!

Nov 5, 2025 • 1h 47min
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!

Oct 29, 2025 • 1h 39min
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!

Oct 23, 2025 • 1h 44min
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!

Oct 15, 2025 • 1h 33min
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!

Oct 8, 2025 • 1h 19min
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!

Oct 1, 2025 • 1h 37min
Altered Addison's
A crew runs a call with an altered patient. Could it be a rare endocrine disorder? Hypotension? Hypoglycemia? Bad cyberware? Find out on this week's episode!


