EMS 20/20

Hosted by paramedics Spencer Oliver and Chris Pfingsten, EMS 20/20 takes you straight into the chaos of actual 911 calls — then dissects them piece by piece. Its clinical insight meets humor, with a side of shocking disbelief. 

This isn’t a lecture. It’s two medics talking shop, talking smack, and somehow teaching you something in the process. Whether you’re a paramedic student, a burned-out veteran, or just here for the ride-along energy, EMS 20/20 delivers the brutally honest education you didn’t know you needed.

Now proudly part of FlightBridgeED — but still mostly unsupervised.

You submit your call.

We’re looking for the calls that stuck with you. The ones you still think about. The ones that made you go: “Did we do the right thing,” “why did that happen,” “oh God, don’t let QA find out.”

We interview you.

No judgment. Just good questions, a lot of “wait, what the hell happened?” moments, and maybe a few “yep, I’ve done that too.”

We break down the call.

We talk through what went right, what absolutely didn’t, and why it mattered. Sometimes we disagree. Sometimes we forget what we were talking about. Sometimes we yell about salmon bisque, Arizona Iced Tea and Dutch Brothers Coffee, too.

We add the theme.

It might be a movie reference, song reference, or pop culture reference. It’s usually up to Chris to figure it out. Whatever it is, it’ll be badass. Probably.

We record the episode. You enjoy it.

You’ll hear it all: the actual case, the analysis, the rants, the jokes, the educational gold hidden under Spencer’s sarcasm.

“You know what it says to me? It says this patient has died. That’s what no BVM attached to an ET tube says to me.”

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Did you know you can listen & earn CAPCE-accredited continuing education credit?

About the Hosts

Spencer Oliver

Paramedic. Creator. Possibly a robot.

Spencer has somehow tolerated over 15 years in EMS without completely losing it. From the thrilling world of 911 to the dizzying heights of flight paramedic life, he’s seen it all. He’s also dabbled in field training, supervising, and volunteering.

When he’s not busy being a 12-lead enthusiast, he’s passionately railing against the abominations that are Dutch Bros and Arizona Iced Tea. If your episode gets picked, he’s the “dude you talk to,” which might be a hint that he’s actually a highly advanced AI disguised as a human. We’re not saying he is a robot, but we’re not not saying it either. He’s here, he’s sarcastic, and he’s probably judging your charting along the way.

Known for:

  • Provoking Chris
  • Half of the quotes on the merch store
  • Ruining pop culture by fusing it with the harsh realities of EMS calls

Chris Pfingsten

Paramedic. Creator. Self-appointed bisque definer.

Chris has been in EMS long enough to have opinions, and paperwork to prove them, and regrets nothing (maybe). He’s worked 911, flight, and those underappreciated management roles.

Whether he’s dropping a perfectly-timed reference to salmon bisque or digging into a rhythm strip like it owes him money, Chris makes clinical insight feel like a story worth hearing — even if it hurts a little. And why, for the love of all that is holy, can’t you take the oxygen tank with you on scene? You know who you are and you’re being watched.

If you’ve ever muttered “We should’ve done that differently,” Chris is already halfway through the analysis.

Known for:

  • Giving you the benefit of the doubt… before verbally wrecking your scene management
  • Narrating mistakes like a medical version of Dateline
  • Comparing emergencies to salmon bisque, and somehow being right

What We Hear From Random People Who Say They Listen To Us

(We can’t prove that they do. Just so you’re aware.)