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Chest Burster

Spencer brings a call that is totally just anxiety. Honestly, no need to listen to the episode this week, nothing is wrong with the patient. Not at all. Move along. Sign this Refusal to Listen. Maybe have a friend listen if you really think you need it.

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Chest Burster

September 11, 2024

Special Edition: Will Chris Choke?

September 4, 2024

As payback, Spencer gives Chris a pediatric airway call. Will Chris choke? Head to @ems2020show on Instagram and vote for Chris' score!

Running Up That SpO2 (Hopelessly)

August 28, 2024

The SpO2 climbs while the patient declines? What?! A fed up patient and Paramedic who, if they only could, would swap places with just about anyone on this week's call!

Special Edition: Spencer Gets Breathing Room

August 21, 2024

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!

Speeding Towards Sedation

August 14, 2024

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!

Special Edition: Chris is on Shaky Ground

August 7, 2024

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?

Wonka's Weedy Wallop!

July 31, 2024

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!

Special Edition: Pass or Flail?

July 24, 2024

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...

UnTrue Lies

July 17, 2024

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!

We Did Not Plan For This

July 3, 2024

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???...

Under the Bridge

June 19, 2024

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!

Hurt

May 29, 2024

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.

All The Small Pills

May 22, 2024

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...

LEGO my V-Tach!

May 8, 2024

"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...

T is for Terrible Manners

April 24, 2024

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!

Please Don't Take Me There

April 10, 2024

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.

It's Just My Arm... Promise.

March 27, 2024

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.

Quick! To The Bat Scanner!

March 13, 2024

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!

Put The Bunny Back

February 28, 2024

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!

Systemic Failure

February 14, 2024

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.

It's All About the Delivery

January 31, 2024

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!

Vaguely Non-Emergent?

January 17, 2024

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!

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

January 3, 2024

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.

That's Kenough Ketamine!

December 21, 2023

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!

Salmon Stabs Spaghetti

December 6, 2023

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?!

Choosy Medics Choose STEMI

November 22, 2023

The guys review a nutty situation where a responder is sandwiched between a DNR and a very serious diagnosis... and also their partner...

A Very Sticky Case

November 8, 2023

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!

Railroading Rod

October 25, 2023

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.

You're Tearing Up My Heart

October 11, 2023

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.

Avoiding SeDEADtion

September 27, 2023

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.

12.875 Kilometer

September 13, 2023

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?

MI Bleed?

August 30, 2023

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!

Who has the Baby!?

August 16, 2023

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....

You Can't Make Me!

August 2, 2023

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...

Methany and the Frog

July 19, 2023

In this week's episode, Spencer tells Chris a tale about meth, altered levels of consciousness, and maybe even child protective services. Also, frogs.

Hive-way to the Danger Zone

July 5, 2023

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.

Making a List... For Low SaO2

June 21, 2023

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!

Snapping Necks and Calling Helis

June 7, 2023

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!

The Legend of Vent Machina

May 24, 2023

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.

LetterSTEMI Problems

May 10, 2023

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

Breaking Blood Vessels

April 26, 2023

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.

Seizure Victim Unit

April 12, 2023

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?

A-Hip-A

March 29, 2023

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.

Bad to the (T)Bone

March 15, 2023

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.

You Give Love... A Bad Name

March 1, 2023

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!

Concert Concern

February 15, 2023

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...

Pandammonia

February 1, 2023

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?!

Pacing/Pressor Pressure

January 18, 2023

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!

The One Where Bad Stuff Happens

January 4, 2023

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.

This Call Bugs Me

December 21, 2022

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...

Teenage Heartbreak

December 7, 2022

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 Fallout of Fallot

November 23, 2022

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.)

Type 1 For Doctor

November 9, 2022

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...

The Bourne Lift Assist

October 26, 2022

Chris and Spence are joined by Dr. Ritu Sahni and Mike Verkest of the EMS Show! Have a listen to this uplifting cross over episode that suffers from a little bit of title confusion.

G.I. Joe!

October 12, 2022

The guys go to battle with Snake Eyes and Duke against the evils of confirmation bias and... coffee grounds? Have a listen and see what goes right (and wrong) in this week's episode!

Falling into Hypoglycemia

September 28, 2022

A patient is found in the bottom of a flooded ditch and the only thing lower than their temperature is their blood sugar... a crew navigates a call that could go in any direction. Do they choose the right path? Listen and find out!

What's in the Salad? (AMS)

September 14, 2022

In these week's episode, Spencer and Chris pick apart a BLS call with really, really weird symptoms. Chris is put through the gauntlet as he tries to figure out what's causing the patient's odd behavior. Spoiler: Chris fails.

Severus Arterious!

September 2, 2022

SORRY FOR THE DELAY! BLAME CHRIS! The guys review a call with a patient that needs just a touch of magic to a large neck wound. Was the crew able to cast the right spell? Listen and find out!

Drop It Like It's Hot

August 17, 2022

With help from gravity, two EMT's find themselves doing the one thing we swore to never do. Is today's episode a master class in recovery, or did the crew grab shovels and dig even deeper? Listen to find out as Spencer dishes out the story and Chris...

The Request For Calcium Is Denied

August 3, 2022

On today's episode Spencer and Chris exam a broken system and some broken... Calcium Channels? A sweetly named crew takes on an overdose! Do they succeed? Listen and find out!

Bicycles and Minivans

July 20, 2022

Check the body cam footage!https://youtu.be/FIJxaIUjhfo

worst. chaser. ever.

July 6, 2022

EPISODE 100!!! The guys follow the ups and downs of a call that gets some rarely used, but often talked about treatments. Did the guys learn something new? Will you? Listen and find out!

Fight and Flight

June 22, 2022

The guys get to talk about helicopters and weather and flight things in today's episode where a flight crew walks in on a call at a local ER that is being run perfectly. They have very little to add and things go smoothly. Except the opposite. Can...

Lawsagna

June 8, 2022

Chris and Spencer bring on Samantha (a REAL LAWYER!) and Nick from the Standard of Care podcast for a call that is plagued with legal complications. An EMT is put in the awkward position of taking a patient that may not want to go to the hospital....

Altered LOC Quest

May 25, 2022

Chris and Spencer make an attempt to unravel the mystery behind an altered level of consciousness and more importantly, they try to figure what to (and not to) do about it.

The Unimaginable Weight of Incredible Trauma

May 11, 2022

With deep, full bodied flavors of trauma and some light herbal notes of scene management during an MCI, the guys pour you a glass of wine to... decompress with.

Boldly Going (To The Birthing Center)

April 27, 2022

Spencer and Chris Boldly examine a call that occurs in a birthing center where a patient is hypotensive for obvious reasons... or are they?

Overdosed on AMS

April 13, 2022

Spencer and Chris try to stay with a crew as they wind down the treacherous rabbit hole that is an altered mental status patient. Do they take the wrong path? In short... probably, but listen and find out why they go where they go on this week's...

Do Not Resuscitate The 80's

March 30, 2022

You ever want to intubate someone, but they tell you no? Chris swears a little less (barely) in today's episode that examines DNR's, POLST forms, and inaccurate SaO2 probes. We also get another rant from Chris!

Bill and Bob's Excellent Misadventure

March 16, 2022

Spencer and Chris go on a crazy adventure as they explore the choices made by Bill and Bob, two partners taking care of a patient that either stayed on or fell off the wagon... with a hard thud. Is it trauma? Is it alcohol? Did they miss something?...

The Queen's Gambit

March 9, 2022

The guy's review a call where the patient is deep trouble long before anyone arrives. In one of our longer and more serious episodes, the guy's talk about what it means to lead a call and how to talk to family members when things aren't going well.

Never Ending Plot Twists

March 2, 2022

The guys are given a call that takes place in a precarious system with a patient that has no memory... and a never ending stream of twists and turns that take this call from "eh" to WTF in a hurry.

Is This Even Legal?

February 23, 2022

On this weeks episode a very sick patient is taken to the hospital... but do issues of patient abandonment arise when a Paramedic refused to be the primary provider? Listen to this weeks call and find out if Spencer and Chris can close the case.

(Please) Free CO2

February 16, 2022

A crew find a patient that rapidly deteriorates, prompting quick action. Baffling monitor readings are the result, so the Chris and Spence bring in back up: Nicole Johnson, a seasoned ICU RN and host of the Found Down podcast join the team to figure...

Never Tell Me The Odds!

February 9, 2022

In an-almost-Valentines-Day special, the guys pick a part a call that has some unusual possibilities for symptoms that started during unusual circumstances that results in an unusual diagnosis. Can the guys shed any light on this unusual episode?

STEMTRAUMI

January 26, 2022

A drunk patient decides that a new Paramedic and their partner need a one stop shop for possible problems, and they absolutely deliver. But do Chris and Spencer deliver on the education? Listen and find out!

Stay Frosty

January 19, 2022

Chris (finally) brings a call that involved an upside down truck, a frozen patient, and a frozen crew... at least when it comes to deciding on exactly what to do! Do they ever figure it out? Listen and find out!

Ambulance Ambush

January 12, 2022

A crew of three Paramedics finds themselves in a situation that no responder ever wants to be in when a patient goes Super Saiyan. Medicate? Evacuate? Also, Chris questions the validity of checking for painful stimuli and challenges the internet......

The Devil Wears 5.11

January 5, 2022

This week's episode features a simpler call that absolutely has some clinical errors in it... but are they a result of a bad partnership? Which is more toxic: the patient or the work environment? Listen and find out in this intense episode of EMS...

The Usual Suspects

December 22, 2021

In the 80th Episode of EMS 20/20, a car crash leads to a highly symptomatic patient... but why? Is it trauma, or was there a medical event that caused the crash? Is it both? Be sure to view the EKG on our social media and see if you can figure it...

Respiratory "S" Word Virus

December 15, 2021

Spencer and Chris dive into a call where parental controls are in play as a pediatric patient struggles to breathe. How do you both treat a patient and calm scared parents? Listen and find out!

It Won't Stop Bleeding

December 8, 2021

Like a leaky faucet, a patient's leg has sprung a leak and a BLS crew does their best to stop the out of control flow. Do they dam the river? Find out on this week's episode!

Hit or Stay?

December 1, 2021

LISTENER FEEDBACK WANTED! A crew has to make a hard choice... stay and play or load and go? With a rapidly closing window to make a hard decision does the crew make the right choice? Spence and Chris give their opinions and ask for yours in this...

Interpersonal Transfer

November 24, 2021

This week's call takes us to a chaotic and tense ER as a crew picks up a very sick patient to transfer them to a higher level of care. Interpersonal Communication takes center stage in this episode as Chris and Spencer play counselor.

Tough Crowd

November 10, 2021

Caught between quelling both a grumpy crowd and an unruly airway, a group of Care Bears are faced with problems from every angle. Do they prevail? Could they have prevailed? The guys go the distance to find out in this weeks episode!

Suspicious Heartache

November 3, 2021

A patient presents with classic signs of a heart attack... but is it? Spencer attempts to stump Chris (and possibly succeeds) in this weeks episode! Also... Chris tees off on physicians with Dr. House Syndrome 😉

Venti Sized Suckage

October 27, 2021

A Paramedic orders a Grande but ends up with a Venti sized problem on their hands. The guys try to answer one question: is there such a thing as too much coffee?

Should I Touch It?

October 20, 2021

A patient with a OW troubling and painOWful experience is treated by a OW crew OW that may be jumping to conclusions. Can our hosts offer up some sage advice without making too many Star Trek references? Can a patients implanted defibrillator shock...

Indiana Jonesing

October 13, 2021

A young patient is mentally stranded in space as a crew tries their best to figure out what, if anything could be wrong with this patient. Is it drugs? Is it a stroke? Listen and find out!

The Devil's Lettuce

October 6, 2021

In our 70th episode we talk about a call with a very difficult and vibrating (yes, vibrating) patient that is paired with a difficult partner. Just how bad can imitation marijuana be? Listen and find out!

Drinking with a Broken Heart

September 29, 2021

In today's episode we learn that Chris cannot take a scooter seriously as the guys analyze the treatment of a patient with an incredibly rare condition!

Fuster Cluck

September 22, 2021

An EMT Advanced finds themselves helming a call that just cannot seem to take a right turn. Can Spence and Chris spot the problem(s)? Have a listen and let us know what you think! Do you want to get FREE CE credits for listening? EMS 20/20 is...

Flying or Lying?

September 15, 2021

In this weeks episode the guys run through a call about trust and helicopters in our first ever call from a Flight Paramedic! Can our crew sort out the truth before committing limited resources to a patient? Listen and find out!

Dead Versus Half Dead

September 8, 2021

A crew of responders finds themselves evacuating a hoarder home after finding one body and one patient who is really trying to be a body. Listen in to this weeks episode to see if this cluster of a call could have been changed for the better!

PB and Code

September 1, 2021

Spencer brings a code with a very sticky problem while Chris brings unrelated science. Listen and find out if Chris and Spence can get to the bottom of this harrowing call.

Diagnosis: Everything

August 25, 2021

In what may be our longest episode to date, Spencer and Chris tackle a call in which a patient has... everything. They have everything. So what can one do with so many paths to take? Listen and find out on this weeks epic episode!

Ego Contusion

August 18, 2021

This time Spencer takes a swing at making a double episode as Chris tries to spot a common theme. Sometimes calls can be so easy they're hard. Have a listen and see if you can guess what gets missed before the guys do!

Fast and Furious (and Futile?)

August 11, 2021

A patient continues to slide downhill while an ambulance crew acts quickly to stop the decline... but can they? Could they have? Listen this week as the guys go through a difficult pediatric call to try and find some answers.

It Takes Two To Trauma

August 4, 2021

In this weeks episode Chris brings not one, but two trauma calls! The guys delve into common injury masks as well as the ever present backboard controversy.

Shouldering the Weight of the World

July 28, 2021

A Paramedic shoulders the weight of a hectic call. Sedation, Intubation, Ventilation, Defibrillation, Exasperation... all the ations are present in this weeks absolutely epic episode!

A Secret Crush

July 21, 2021

A 700 pound patient just needs a hand up... or at least that's what this weeks crew were hoping for. We'll hold the spoilers, but this call tips the scales when it comes to twists, turns, and diagnosis.

Narcan Needs A Break

July 14, 2021

A pair of medics take on a call with a pretty straight forward history with what should have been a pretty straight forward solution. But this is EMS 20/20...

Drowning In Uncertainty

July 8, 2021

WTF is wrong with this patient... is the perfect way to introduce today's episode! A seemingly basic call turns into a near death experience that is saved by... a pothole?

Trauma Induced Chaos

June 30, 2021

Confusions sets in as a Paramedic attempts to locate a trauma patient and... their partner? The guys work their way through a chaotic scene, so listen and find out if this weeks crew finds the right ingredients to pull it all together.

Are We There Yet?

June 23, 2021

The guys pick apart a call where the provides look too closely and find something no one saw coming, but only after challenging YOU, the listeners to come up with the best code 3 driving music! As we announced in this weeks episode, we want to hear...

Always Play the Odds

June 16, 2021

The guys review a call that involves a COVID patient that really keeps trying to die and Spencer ruins French cuisine. Does the crew pull it out and save the day? Listen and find out!

One is (Almost) Never Enough

June 10, 2021

Like frames in a hit movie about landing a plane in the Hudson River, EKG's are but a single moment in time. Dr. Seitz joins in this weeks episode and guys read YOUR responses from last weeks EKG. Does the crew make the right call? Listen and find...

Won the Battle, Lost the War

June 2, 2021

A call that will make your jaw drop with just how many battles had to be fought just to lose out in the end. This one was a hard one to review, but the guys plowed through it and brought you over an hour of facepalming...

The Petty Difference

May 26, 2021

Petty assumptions get critically in the way as friction between crews cause some waves. Do they recover? Chris and Spencer pull out way too many lessons from just a single call in this weeks episode.

Use Restraint(s)

May 19, 2021

In their 50th episode, Chris and Spencer analyze a call where a provider finds themselves one on one with a combative mental health patient. Could this have been avoided?

All The Sound We Cannot Hear

May 12, 2021

What would Spencer do becomes the name of the game as the guys pull apart a call that is more about what you can't hear than what you can. Does the crew pull it off? Listen and find out!

Syncope Suspects

May 5, 2021

An absolutely killer episode where Chris is put to the test as he evaluates a syncope patient that... refuses care? Should they have refused? Does Chris miss something? Listen and find out!

Legally Drunkabetic

April 28, 2021

Spencer and Chris examine a case where the medical treatment goes smoothly... but the question remains: Who can refuse transport? And is sharing information with police a HIPAA violation? You asked for it, we delivered! Listen to find out!

To Tube or Not to Tube...

April 21, 2021

Two Paramedics approach a patient with vastly different treatment plans in mind... Chris and Spencer are called in to judge who is right and who is wrong. Can they do it? Is there even a clear winner? Find out!

One of Our Own

April 14, 2021

Sometimes we are put in the terrible position to treat one of our own! The guys call in Dr. Seitz from Seitz and Sirens to dissect the treatment of a reaction caused by a sneaky strawberry.

Peanut Butter Spider Sandwich

March 31, 2021

The Delayed Sequence Intubation episode you've all been waiting for! Plus Spiders! Plus Mmmhopps beer! What a time to be alive, and hopefully the crew in this call can keep a very sick patient from falling off the oxygenation cliff!

Minor Mistake, Major Consequence

March 24, 2021

The guys break down a call where too much of a good thing is administered with catastrophic consequences. What could have prevented this, or could it have been prevented at all? And what should happen to the provider who made the mistake? Listen as...

We're Gonna Need A Bigger Rig

March 17, 2021

Mandy Krekora joins the guys to answer your airway questions (RSI vs DSI, anyone?) and dive into a hectic airway nightmare that involves a sleepy giant, vanilla Ensure and an oddly placed trashcan. In addition to being on EMS 20/20, you can learn...

Shoulda Woulda Coulda

March 10, 2021

Chris and Spence review a call where a missed opportunity leads to... an accurate diagnosis? The guys analyze a call that illustrates that while recovering from a mistake is good, not making the mistake in the first place is probably a wee bit...

The Critical Truth

March 3, 2021

Spencer and Chris go over an interfacility transfer gone awry... and they dig deep into the issue of crew integrity. A septic patient with a drug abuse history misses out on critical treatments that may have cost them.

Gut Feeling

February 24, 2021

A psychic EMT makes a prediction... but are his psychic abilities any match for another responders experience? Does anyone even make a mistake in this episode? Find out as the guys explore an unpredictable (maybe) call!

Everything But The Gun

February 17, 2021

In this week's episode, Spencer and Chris dissect a call where two problems met: a tired crew and an oddly presenting patient. Did the crew overcome their fatigue to perform in a way that makes EMS proud? Spoiler: Nope.

When School Gets It Wrong

February 10, 2021

Chris and Spencer examine a call where a patient goes from pretty OK to really, really bad. Is this something that school could have prepared the crew for? Or is this one of those reality check moments?

Help Wanted!

February 3, 2021

An unusual pairing of Paramedics in an unusual setting in an unfamiliar area creates for an ungood circumstance. Spencer and Chris go the distance in dissecting a call that takes place in the middle of a foot race!

This Shouldn't Be Happening...

January 27, 2021

The guys review a substantially disjointed call in which a patient is coded... or are they? How can a densely, perhaps even over-resourced system miss THIS?

Forgetting How To Walk

January 20, 2021

Leading your first code with minimal resources can be likened to being birthed as a baby giraffe learning what legs are for. Spencer and Chris review a new Paramedic doing exactly that as they come back with another episode aimed at helping new...

Four Years Versus Twelve Leads

January 13, 2021

Spencer nerds out over an interesting 12-lead and flexes his EKG knowledge as the guys analyze a call in which a responder misses a STEMI... or did he?

Wait... You Did What?

January 6, 2021

Crew's respond to a care facility where a medication was given incorrectly... and that's not even the worst thing that happens... Listen to this weeks episode of EMS 20/20 to find out how a bad situation can be made even worse!

Going the Distance

December 30, 2020

What happens when a patient starves themselves (almost) to death? What's the difference between a clinical overreaction and a Dr. House moment? In an EMS 20/20 first ever double header, the guys explore two calls with some unique challenges and an...

Soft Touch for a Hard Hit

December 23, 2020

Alcohol, boyfriends, alcohol, a dog, and more alcohol. Spencer and Chris analyze a call where an experienced crew deal with an untrusting patient, a loud (but hilarious) boyfriend, and a dog named Falcor that really couldn't care less.

Sounds Like A Duck...

December 16, 2020

If it sounds like a duck, it must be one, right? Have a listen as Paramedics Baller, Shot Caller, and Impala unsuccessfully shock a patient. You too can be shocked: For the first time ever in the history of the universe... CHRIS IS WRONG.

A Lazy Game of Hot Potato

December 2, 2020

Spencer and Chris unravel a complicated scene that didn't need to happen. The only thing harder to find than this patients pulse is the history of his present illness! Do they ever find it? Have a listen and find out!

I Wanna Roc!

November 25, 2020

Chris and Spencer review one helluva a breathing call! That's right, two back to back breathing episodes, but this one has a special twist: what happens when the thing that always works... doesn't? And can adding a doctor to a call always make...

Passing the Baton

November 18, 2020

Q-tip and Cotton Ball respond to an urgent care clinic where staff has a reasonable plan with unreasonable expectations for a young asthma patient. The call goes from bad to better to way worse as Chris and Spencer comb through the details in this...

Pump the Brakes

November 11, 2020

A new Paramedic careens down an unsafe road but is thankfully stopped before something disastrous happens by a more experienced Paramedic... only to miss other warning signs further down the road. Have a listen as Chris and Spencer map out a safe...

It's Not You, It's Me

November 4, 2020

A Paramedic does a fantastic thorough assessment, thinks outside the box, and delivers appropriate care, but the patient still wants some space from being alive. Is there something the crew could have done better after all? Have a listen and find...

Painful Realization

October 28, 2020

CONTROVERSY WARNING! So just how good are pre-hospital providers at evaluating and treating pain? Can we call a faker out with any accuracy? Are we giving too much pain medication? Too little? Dr. Seitz from https://www.seitzandsirens.com joins...

Uncomfortably Pregnant

October 21, 2020

Spence and Chris talk about a call where two Paramedics cross their fingers, close their eyes, and just hope a call goes away. But guess what? In EMS, you don't get to do that. Listen and find out why!

Clownfish Learns His ABC's...

October 14, 2020

A couple of fish are taken to school as Clownfish and Anglerfish learn the finer points of time management. Does it cost the patient dearly? Does it even matter? Would Chris have done any better? Find out on this weeks episode of EMS 20/20!

I See Dead People

October 7, 2020

Abdominal pain turns code turns DOUBLE CODE. A seasoned Paramedic finds herself alone at the top of the EMS food chain trying to get pulses back in not one but two people who really, really need pulses. How does she manage the chaos? Listen and find...

Dissecting an FTO's Failure

September 30, 2020

Spencer brings a case with a patient that is absolutely totally fine...until he absolutely totally isn't. A trainee and his trainer let their hopes for the best obscure the worst in a case that even had Chris shrugging his shoulders.

Sometimes Everyone Drowns

September 23, 2020

Chris and Spence talk about a drowning Paramedic... er, patient! Maybe both? What happens when the sole Paramedic on scene can't pull the trigger? Listen to find out as the guys talk about rapid and delayed sequence intubation as well the pushing...

The Non-Episode Episode

September 16, 2020

This week Chris and Spencer do... nothing! Spencer is out helping areas affected by the fires here in Oregon as on site medical staff. But no worries! Next week we will be back on track with a new episode!

Critiquing the Crossroads

September 9, 2020

The guys are joined by Dr. Chris Seitz, and ER physician who helps bring some much needed perspective to last weeks complex episode. Was CPAP the right thing to do? Were pressers needed? What about intubation? It all gets answered on this week's...

Critical Crossroads

September 2, 2020

The guys follow a harrowing call where two Paramedics, Dingo and Corgi, come to a crossroad on a very ill patient. The crew will need to make a decision on how to treat this critically sick patient. Are they able to make the right choice? Are they...

Soft Shell Redemption

August 26, 2020

Soft Shell returns from last week as Spencer and Chris discuss the ins and outs of subarachnoid bleeds. What can cause them, what they can do to the patient, and what we can do in the field, the guys cover it all as they review Soft Shell's...

Soft Sell from Soft Shell

August 19, 2020

As a freshly minted lead Paramedic, Soft Shelled Turtle comes across a patient with a telling set of symptoms that go from bad to worse. To make matter more interesting, Softy decides that the patients condition is better delivered as a surprise to...

Head and the Heart

August 12, 2020

This week's episode is a deep dive into what Lone Wolf nailed in They Have A History of Heart. Spencer and Chris talk about talking to patients, the one skill you need on quite literally every call, but the one skill that few have truly mastered......

They Have A History Of Heart

August 5, 2020

Lone Wolf, an experienced Paramedic, puts on a master class of communicating with a jackass of a patient... but makes one single misstep that almost costs the patient their life! Chris and Spence review a call that could be all too real to anyone in...

EMS 20/20

Collaborative Network Creator

Chest Burster

Chest Burster

Special Edition: Will Chris Choke?

Running Up That SpO2 (Hopelessly)

Special Edition: Spencer Gets Breathing Room

Speeding Towards Sedation

Special Edition: Chris is on Shaky Ground

Wonka's Weedy Wallop!

Special Edition: Pass or Flail?

UnTrue Lies

We Did Not Plan For This

Under the Bridge

Hurt

All The Small Pills

LEGO my V-Tach!

T is for Terrible Manners

Please Don't Take Me There

It's Just My Arm... Promise.

Quick! To The Bat Scanner!

Put The Bunny Back

Systemic Failure

It's All About the Delivery

Vaguely Non-Emergent?

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

That's Kenough Ketamine!

Salmon Stabs Spaghetti

Choosy Medics Choose STEMI

A *Very* Sticky Case

Railroading Rod

You're Tearing Up My Heart

Avoiding SeDEADtion

12.875 Kilometer

MI Bleed?

Who has the Baby!?

You Can't Make Me!

Methany and the Frog

Hive-way to the Danger Zone

Making a List... For Low SaO2

Snapping Necks and Calling Helis

The Legend of Vent Machina

LetterSTEMI Problems

Breaking Blood Vessels

Seizure Victim Unit

A-Hip-A

Bad to the (T)Bone

You Give Love... A Bad Name

Concert Concern

Pandammonia

Pacing/Pressor Pressure

The One Where Bad Stuff Happens

This Call Bugs Me

Teenage Heartbreak

The Fallout of Fallot

Type 1 For Doctor

The Bourne Lift Assist

G.I. Joe!

Falling into Hypoglycemia

What's in the Salad? (AMS)

Severus Arterious!

Drop It Like It's Hot

The Request For Calcium Is Denied

Bicycles and Minivans

worst. chaser. ever.

Fight and Flight

Lawsagna

Altered LOC Quest

The Unimaginable Weight of Incredible Trauma

Boldly Going (To The Birthing Center)

Overdosed on AMS

Do Not Resuscitate The 80's

Bill and Bob's Excellent Misadventure

The Queen's Gambit

Never Ending Plot Twists

Is This Even Legal?

(Please) Free CO2

Never Tell Me The Odds!

STEMTRAUMI

Stay Frosty

A Very Sticky Case