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EMS 20/20 - Podcast

EMS 20/20

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.

Science Courses Education Health Medicine Wellness Health & Fitness Life Sciences
Update frequency
every 10 days
Average duration
86 minutes
Episodes
206
Years Active
2020 - 2025
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Passing the Baton

Passing the Baton

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 Ch…
00:52:06  |   Wed 18 Nov 2020
Pump the Brakes

Pump the Brakes

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. Ha…
00:57:39  |   Wed 11 Nov 2020
It's Not You, It's Me

It's Not You, It's Me

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 hav…
00:56:00  |   Wed 04 Nov 2020
Painful Realization

Painful Realization

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. Se…
01:05:51  |   Wed 28 Oct 2020
Uncomfortably Pregnant

Uncomfortably Pregnant

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 wh…
00:52:51  |   Wed 21 Oct 2020
Clownfish Learns His ABC's...

Clownfish Learns His ABC's...

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? Fin…
00:54:46  |   Wed 14 Oct 2020
I See Dead People

I See Dead People

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 puls…
01:18:55  |   Wed 07 Oct 2020
Dissecting an FTO's Failure

Dissecting an FTO's Failure

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 …
01:13:12  |   Wed 30 Sep 2020
Sometimes Everyone Drowns

Sometimes Everyone Drowns

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 …
01:02:15  |   Wed 23 Sep 2020
The Non-Episode Episode

The Non-Episode Episode

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 ep…
00:00:55  |   Wed 16 Sep 2020
Critiquing the Crossroads

Critiquing the Crossroads

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 i…
00:57:42  |   Wed 09 Sep 2020
Critical Crossroads

Critical Crossroads

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. …
01:10:58  |   Wed 02 Sep 2020
Soft Shell Redemption

Soft Shell Redemption

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…
00:40:40  |   Wed 26 Aug 2020
Soft Sell from Soft Shell

Soft Sell from Soft Shell

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 patien…
00:48:39  |   Wed 19 Aug 2020
Head and the Heart

Head and the Heart

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, …
01:01:35  |   Wed 12 Aug 2020
They Have A History Of Heart

They Have A History Of Heart

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 rev…
00:53:24  |   Wed 05 Aug 2020
Sed8tion Lessons from the Sk8ter Boy

Sed8tion Lessons from the Sk8ter Boy

Spencer and Chris talk about Sedatives and Paralytics commonly used in EMS. Why should you pick one over the other? What are the pros and cons of each? Did you know that paralysis does not equal seda…
00:54:40  |   Wed 29 Jul 2020
The Sk8ter Boy

The Sk8ter Boy

Nicknames return! A crew secures an airway in a calm, decisive manner and begins transport on their trauma patient. Easy going from here on in, right? ...right?
00:50:43  |   Wed 22 Jul 2020
Airway Anyone?  ...Anyone?

Airway Anyone? ...Anyone?

Chris and Spencer identify the key skill to being a good PIC while examining a leaderless scene. A team overstays their welcome, an airway lingers for too long, and a crew member disappears.
00:53:46  |   Wed 08 Jul 2020
Trying to Coach Your Patient To Death

Trying to Coach Your Patient To Death

Spencer and Chris dig into a call where assumptions run wild and a Paramedic makes an attempt to coach someone out of a life threatening disease.
00:36:59  |   Wed 24 Jun 2020
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