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Artwork for EMS 20/20
Emergency Medical Services
Patient Assessment
Emergency Medicine
Cardiac Arrest
Paramedic Training
Airway Management
Sepsis
Trauma Care
EMS
Paramedics
Stroke
Mental Health
Patient Care
ST Elevation Myocardial Infarction
Pain Management
Paramedic Education
Paramedic Protocols
Emergency Response
Pediatrics
Pediatric Care

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.

PublishesWeeklyEpisodes263Founded6 years ago
Number of ListenersCategory
Education

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Artwork for EMS 20/20

Latest Episodes

A preview of the LongPauseMedia.com EXCLUSIVE EPISODE: Promise Not to Try

How many times can a single crew run CO poisoning calls in one day? Has Mauly returned to exact her revenge on humanity? In a call that boils Chris' blood (like that's hard to do...), a single ambulance crew has a lot to deal with as they find themse... more

Listener Rick joins the guys and goes fishing for an reason his patient won't get out of a taxi... is it because... THE TAXI DRIVER IS LYING SPY?!?! Listen and find out!

In today's all BLS episode, a crew runs into a career first (and maybe career worst...) kinda call. Can two EMT's, neither with more than a year of experience and no ALS in sight, pull it off? Have a listen and find out on this week's episode that go... more

Key Facts

Accepts Guests
Accepts Sponsors
Contact Information
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Number of Listeners
Find out how many people listen to this podcast per episode and each month.

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Recent Guests

John G.
Lead EMT on a rural private ambulance service
Sentinel Ambulance Post Times
Episode: Mauly and Me
Zachariah Block
EMS for five years, medic for two; Flight Paramedic Certified (FP C)
Tetramino Emergency Transport and Rescue Incorporated Services
Episode: The Pieces Don't Fit
Danny Kustra
DNR Prehospital Education creator, presenter of the scenario
DNR Prehospital Education
Episode: Special Edition: POCUS Ranger
Samantha (Sam)
Attorney, hospital-based EMS QA advocate, guest on Standard of Care Podcast
Standard of Care Podcast / Flight Bridge Ed
Episode: Legal Lessons for a Full Kart
Kate E. Perry
Special Master Your Medics guest
Special Master Your Medics episode participant
Episode: Special Edition: BOLDY GOING... (...to the ER for lab values)
Guy Shelby
Paramedic intern turned paramedic, call submitter
Ambulance Mori Response
Episode: Kemento
Will Heuser
EM pharmacist and critical care flight paramedic
EM Pharmacist; FlightBridgeED educator
Episode: Lives Out: An EMS 20/20 Mystery
Geoff Murphy
Founder of Master Your Medics
Master Your Medics
Episode: Do Not Pass ER
Mike Lauria
Physician with EMS background, previously a guest on the show
FlightBridge Ed / EMS 2020
Episode: Shake N Bake Boys, I Think We Got a BBQ

Hosts

Spencer Oliver
Host of EMS 20/20, experienced paramedic; co-host guiding discussions and scenarios.
Christopher Pfingsten
Co-host with deep paramedic experience; leads clinical explanations and scenario debriefs.

Reviews

4.9 out of 5 stars from 3.2k ratings
  • Great podcast!

    I’m loving this show, I’m In school for nursing and I have no complaints. It seems there are some people that don’t like the banter in it bc it supposed to be an educational podcast, which it is. But the banter and the jokes make it more fun. The lengths are fine too. I listen to these while driving and just whenever so I can always come back to it and have a stopping point.

    Apple Podcasts
    5
    Everlastindonut
    United States4 months ago
  • ADHD support

    I’m not in medical field but this is perfect for my brain and educational! Philosophy behind episodes to pre-game without tunnel focus, two things can be true at once and beware of 4 year thing. Keeping the curiosity -words of wisdom and funny !

    Apple Podcasts
    5
    WBLtheory
    United States5 months ago
  • Informative and funny

    It’s like ems without any of the bls ifts. For maximum immersion listen while driving around at 3am

    Apple Podcasts
    5
    Reviewington1
    United States7 months ago
  • How to become more competent in EMS

    These guys make learning and becoming a much better competent EMT fun. They talk about the most interesting calls and give the best feedback.

    Apple Podcasts
    5
    WEE WOO BOI
    United States7 months ago
  • Current EMT Student

    These guys make learning fun and comical. Great personalities to match a field that shouldn’t be boring when getting taught. Laugh as you learn.

    Apple Podcasts
    5
    @icherishthat
    United States8 months ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Listeners praise banter clarity, though some want shorter episodes.
Engaging mix of case analysis and banter; educational and entertaining.
Strong value for EMS students and practitioners seeking practical takeaways.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Apple Podcasts
#175
United States/Education
Apple Podcasts
#153
Canada/Education

Talking Points

Recent interactions between the hosts and their guests.

Shake N Bake Boys, I Think We Got a BBQ
Q: What is the key risk when giving Versed and Fentanyl simultaneously to an unstable patient?
The clinicians highlight that concurrent dosing can cause unpredictable respiratory and hemodynamic effects, especially in hypotensive patients, and suggest staggering doses (e.g., smaller, separate administrations) to avoid worsening instability.
When Things Get Skrewy
Q: What are your top concerns for the patient and scene with the information that we have?
Hallucination seems to be kind of a jump, this is an altered LOC call, and we need to see why someone's behaving this way.
Freedom From Incompetence!
Q: Is there some mechanism by which a system should identify and weed out providers who aren't really up to date with protocols?
Yes, a system should collect data on performance metrics and provide regular training to ensure all providers are kept informed and competent.
Freedom From Incompetence!
Q: At what point should a lower level provider revolt from the direction of Kingston George III?
A lower level provider should revolt when they observe clear deviation from established protocols that jeopardizes patient care.
Hot Pursuit, Hotter Patient with RAINN WILSON
Q: How did you approach capturing the realities of EMS in the movie?
We wanted to capture the authenticity of the medicine, but also the comedic and emotional realities that come with it.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

Listeners per Episode
Gender Skew
Location
Interests
Professions
Age Range
Household Income
Social Media Reach

Frequently Asked Questions About EMS 20/20

What is EMS 20/20 about and what kind of topics does it cover?

Real-world EMS stories and on-scene decision making are broken down with a mix of practical clinical analysis and banter. Episodes consistently center on triage, airway management, pharmacology, field logistics, and interagency coordination, often using high-stakes calls to illustrate how guidelines look in practice. A distinctive trait is the balance between serious medical critique and approachable, humorous host dynamics, making complex prehospital concepts accessible for students and seasoned responders alike. Notable strengths include deep dives into clinical reasoning (often tied to real calls), guest voices from educators and frontline clinicians, and a recurring emphasis on hands-on takeaways that listeners can apply in the field or... more

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How many listeners does EMS 20/20 get?

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Which podcasts are similar to EMS 20/20?

These podcasts share a similar audience with EMS 20/20:

1. The World’s Okayest Medic Podcast
2. EMCrit FOAM Feed
3. Emergency Medicine Cases
4. Emergency Medical Minute
5. Standard of Care Podcast

How many episodes of EMS 20/20 are there?

EMS 20/20 launched 6 years ago and published 263 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

How do I contact EMS 20/20?

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What guests have appeared on EMS 20/20?

Recent guests on EMS 20/20 include:

1. John G.
2. Zachariah Block
3. Danny Kustra
4. Samantha (Sam)
5. Kate E. Perry
6. Guy Shelby
7. Will Heuser
8. Geoff Murphy

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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