

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

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!

Sep 24, 2025 • 1h 33min
Special Edition: Unhappy Meal
Chris is in the hotseat as he does a call hungry, making each roll harder and each success a little more out of reach. Are his efforts a super sized success, or does his clinical skill belong on the dollar menu? Vote now!

12 snips
Sep 17, 2025 • 1h 34min
Hot Pursuit, Hotter Patient with RAINN WILSON
Rainn Wilson, known for his role in The Office, dives into the gritty world of EMS while promoting his film Code 3. He shares surprising insights on EMS realities and the film's authentic portrayal of burnout and humor. The discussion revolves around a wild case involving a patient with amphetamine use, exploring vital signs, treatment decisions, and the complexities of heat illness. Rainn humorously highlights EMS slang and the film's commitment to real medical training, making for an engaging blend of entertainment and education.

Sep 10, 2025 • 1h 27min
Special Edition: Damnit Jerry!
Spencer is in the hot seat, but this time he has the help of Jerry the helpful RN at the local nursing facility / rehab / pit of despair! How does he do? Visit our Instagram to find out!

Sep 3, 2025 • 1h 21min
Ding Dong, The Patient's... Dead?
When a code 99 comes in for a frequent flyer, a crew finds themself in a classic case of "there's more than meets the eye". Do they follow the yellow brick road to get their questions answered? Click your rube red slippers three times and be transported away to a land of not quite death but maybe some destruction.

Aug 20, 2025 • 1h 42min
Special Edition: It Can't Be THAT Simple... Can It?
Chris is in the hotseat and immediately starts over thinking a call involving a possible stroke... or UTI... or hypoglycemia... or alcohol? Check out @ems2020show in Instagram and vote on his performance!

Aug 13, 2025 • 1h 35min
Paralyzing Yourself to Refuse
What does Carhart pants, Fireball Whiskey, weed, and an allergy to authority have in common? They're all in this episode! Follow the Paramedic of Darkness into the fray as we sort out and angry MVA patient that has more issues than they realize.


