EMS 20/20

Code Alone

17 Dec 2025

Contributed by Lukas

Holy wow is this episode... wild. Every calamity that can occur, will occur, especially if you are unprepared. It's almost as though being unprepared ...

Special Edition: Drowning Fool

10 Dec 2025

Contributed by Lukas

Can Spencer manage some absolutely wrecked lungs? Or will he drown in the salty sea? Vote and let us know what you think! @ems2020show on Instagram!

The Toxicity of This Lady

03 Dec 2025

Contributed by Lukas

Dr. Ryan Feldman from The Poison Lab joins us again to talk about a patient that took... all of it. Like all of it. All gone. Can she be saved?

Special Edition: Pregnant Pause

26 Nov 2025

Contributed by Lukas

Chris is in the hotseat as Spencer gives him a chest pain call... that is interrupted by an MVA... that is interrupted by a pregnancy call... that is ...

L.A.S.T. Call

19 Nov 2025

Contributed by Lukas

The guys fumble through an interesting call with many odd findings... including a high-end hotel that is well prepared for the arrival of EMS. Can thi...

Special Edition: The Shootout

12 Nov 2025

Contributed by Lukas

Today Chris takes aim at Spencer with a call that is all about scene management and lotsa blood! Does Spencer hit the bullseye? Vote on our Instagram!...

Freedom From Incompetence!

05 Nov 2025

Contributed by Lukas

The guys follow a crew that is mired with questionable choices and potentially a lack in leadership? Should this call have ever been ran? Will the mig...

Special Edition: Did They Slip or Knot?

29 Oct 2025

Contributed by Lukas

On today's special edition, Chris is put in the hotseat by Spencer on an altered LOC patient with a significant language barrier. Can Chris translate ...

Trouble In The PlayPlace

23 Oct 2025

Contributed by Lukas

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 'nurs...

Slay Thy Assumptions!

15 Oct 2025

Contributed by Lukas

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? ...

Special Edition: Heated Reaction

08 Oct 2025

Contributed by Lukas

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 t...

Altered Addison's

01 Oct 2025

Contributed by Lukas

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 e...

Special Edition: Unhappy Meal

24 Sep 2025

Contributed by Lukas

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 s...

Hot Pursuit, Hotter Patient with RAINN WILSON

17 Sep 2025

Contributed by Lukas

RAINN WILSON joins Chris and Spencer (no, really) as they discuss a methamphetamine marathon runner who gets brought up to medium rare. Can an EMT pus...

Special Edition: Damnit Jerry!

10 Sep 2025

Contributed by Lukas

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 ...

Ding Dong, The Patient's... Dead?

03 Sep 2025

Contributed by Lukas

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 ...

Special Edition: It Can't Be THAT Simple... Can It?

20 Aug 2025

Contributed by Lukas

Chris is in the hotseat and immediately starts over thinking a call involving a possible stroke... or UTI... or hypoglycemia... or alcohol? Check out ...

Paralyzing Yourself to Refuse

13 Aug 2025

Contributed by Lukas

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 Dark...

Special Edition: Oops! All Trauma!

06 Aug 2025

Contributed by Lukas

Spencer is in the hotseat trying to fix all the problems with a severe trauma patient. Also, Chris cannot count. Vote on Instagram now!

Self Inflicted Surgery

30 Jul 2025

Contributed by Lukas

Hands down, this is the weirdest episode. So many twists and turns. Chris rants about TXA again (start the emails), Spencer gets weird about barnyard ...

Special Edition: Face the Pain

23 Jul 2025

Contributed by Lukas

Chris is in the hot seat! Spencer pulls out a rare but immediately life threatening disorder that threatens to crush Chris under the weight of airway ...

Bold Strategy Cotton

16 Jul 2025

Contributed by Lukas

An interfacility call that seems like your basic, everyday call... until it isn't. A patient goes from walking and talking to huffing and puffing to g...

Special Edition: Little Altered Man

02 Jul 2025

Contributed by Lukas

Spencer is given a 'kitchen sink' type call as Chris leaves him looking around every corner to see if he can walk down Holland road. Does Spencer eek ...

Sus 4 CO

25 Jun 2025

Contributed by Lukas

Hey wait... that's not Oxygen! Call an emergency meeting! Does the crew in this week's episode get to the bottom of the problem BEFORE it's too late? ...

Special Edition: Recipe for Disaster

18 Jun 2025

Contributed by Lukas

Spencer attempts to trip Chris up with a chaotic flight call! An IFT where a small hospital is struggling to keep up with a severe trauma patient's ne...

Bullet(s) With Butterfly Wings

11 Jun 2025

Contributed by Lukas

A team of responders enter a scene made safe(ish) by PD to find a very unhappy gunshot victim. Are they able to calm his rage and treat appropriately?...

Special Edition: He's Choking Now

04 Jun 2025

Contributed by Lukas

Time's up! Over! BLAU? Spencer is in the hot seat as an unconscious unresponsive patient is presented to him. Does he choke? Does he handle it with gr...

Prepare for Unforeseen Consequences

28 May 2025

Contributed by Lukas

The guys analyze a crew that walks into self-imposed traps. Do they figure it out before it's too late, or do they find themselves at the bottom of a ...

Special Edition: Gambling with Grumpy

14 May 2025

Contributed by Lukas

Spencer rolls the dice for Chris as he presents him with one grumpy customer... can Chris get through the interpersonal obstacles or will he fall flat...

Get Out of My Head!

07 May 2025

Contributed by Lukas

Is it an overdose? Is it trauma? Is it... something else entirely unhinged? Yes. Listen and find out what the guys have to deal with in today's exciti...

No Right Answers!

30 Apr 2025

Contributed by Lukas

Chris gives Spencer a maze with no end... or a maze with too many endings? Can Spencer pull his patient out of jeopardy and save the day? Or will he m...

Rage Against The EKG

23 Apr 2025

Contributed by Lukas

Is this EKG even for the right patient? A wild call with everything from pediatric to... significant OLMC considerations causes the guys to call in so...

Special Edition: Crafting a Plan

16 Apr 2025

Contributed by Lukas

Chris is given the mother of all scenarios where a pediatric patients takes... well, all the medications. PLUS! We introduce the coveted DICE ROLL to ...

Disappearing Leadership

09 Apr 2025

Contributed by Lukas

A discharge home for a patient is difficult for all the wrong reasons. Chris... defends the bad guy? Nuance is key as Chris and Spence discuss the wro...

Special Edition: Bled Too Much? Is That A Thing?

02 Apr 2025

Contributed by Lukas

SPENCER is back in the hotseat! Is it trauma? Is it childbirth? Is it both? Is it a code? Vote now on our Instagram and let Spencer know how you feel!...

Only Anaphylaxis... and Nothing More..?

26 Mar 2025

Contributed by Lukas

Is this a case of a LETHAL distracting injury? Can there ever be such a thing? Is an amped up responder with a "just-go" mentality in the right? Liste...

Special Edition: Respiratory Kombat

19 Mar 2025

Contributed by Lukas

Chris is in the hotseat and his patient is in respiratory distress and making alllll the sounds. How does Chris hold up to this onslaught of respirato...

Phony Chest Pain

12 Mar 2025

Contributed by Lukas

Chest pain? Check. Sus ECG? Check. STEMI? Not check. A very tired Chris and a nerded out Spencer (12-leads... go figure) give MAXIMUM effort in today'...

Special Edition: Frat House Fever

05 Mar 2025

Contributed by Lukas

Can Spencer handle the heat? Or really... can his patient? How does Spencer do when faced with a "tough" frat bro who has a fever that just won't quit...

The EMT and The Sea

26 Feb 2025

Contributed by Lukas

...of bodily fluid. The guys set sail on an adventure to see what they can find on a particularly... sticky... call. Also... IT ENDS WITH A SONG!

Special Edition: Look at This Patient's Sats

19 Feb 2025

Contributed by Lukas

Spencer puts Chris in the hotseat with an... anxiety call? Does Chris wind up being a big rockstar or will he never make it as a wise man? Check out @...

Rocko's Modern Wreck

12 Feb 2025

Contributed by Lukas

Oh no... apathy strikes again in this week's episode as two cars attempt to occupy the same space in traffic. An ALS fly car responds to sort out the ...

Special Edition: Who Wants To Be Not Dead?

06 Feb 2025

Contributed by Lukas

Spencer winds his mind around a call where a patient is heroically pulled from a fire! But they are, unfortunately, lacking a pulse. How does Spencer ...

Neo Leaves the Matrix

29 Jan 2025

Contributed by Lukas

Chris and Spence try and figure out what's real and what's not on a call where an altered man wounds up getting taken to the way wrong place. The resu...

Special Edition: Honey, I Shrunk the Airway

22 Jan 2025

Contributed by Lukas

Spencer fires off a devious pediatric call where Chris is forced to weight something versus nothing! Vote on Chris' performance on Instagram!

The View From Halfway Down

15 Jan 2025

Contributed by Lukas

**WARNING this episode deals with the topic of suicide** Clinical Toxicologist and host of The Poison Lab Dr. Ryan Feldman is BACK! The thruple review...

Special Edition: Drop Kick Syndrome

08 Jan 2025

Contributed by Lukas

The Special Editions are back! We kick it off with an absolute doozy of a breathing problem and lungs that are so... clear? Listen and see if Spencer ...

SquKid Game

01 Jan 2025

Contributed by Lukas

Attention Players: A crew heads to a traffic accident with multiple patients and is assigned to care for a 3.517892 year old child with a leg injury.....

Panic! At the OR

18 Dec 2024

Contributed by Lukas

The guys get so emo when an outpatient clinic panics and... helps? Is this a case of a sick patient or patient made sick? Listen and find out!

Special Edition: ENDGAME

11 Dec 2024

Contributed by Lukas

In a bid to clench the win, Chris navigates a chest pain call from the Master Your Medics 100 Patient Scenarios Book! Can he put up a strong enough pe...

Out of Leadership

04 Dec 2024

Contributed by Lukas

A trauma call with a complicated patient and a ship that desperately needs a captain. Does the crew get it together or is it the end of the world as w...

Special Edition: Stroke of Genius

27 Nov 2024

Contributed by Lukas

WE FINALLY KNOW THE PUNISHMENT FOR THE LOSER! Also, Spencer is given a complex stroke call that needs an airway! Does he recognize it? Does he act app...

The Significant Intrusion Album

20 Nov 2024

Contributed by Lukas

A car split hot dog style... a medic that is rude and disengaged... a massive med error... what isn't there to love about this week's episode?! Tune a...

Special Edition: Heli Horror with Eric Bauer

13 Nov 2024

Contributed by Lukas

Join Chris, Spencer AND SPECIAL GUEST **ERIC BAUER** as the team sift through a transfer that has all the bells and whistles: an intubation, a med err...

An AMS Call For Gifted EMT's

06 Nov 2024

Contributed by Lukas

Spencer and Chris dive into an ALOC call that was perhaps inappropriately placed into the hands of an AEMT. Is this a case of call turfing, or a misgu...

Special Edition: Chris Seizes

30 Oct 2024

Contributed by Lukas

We're back for another Master Your Medics Special Edition! Spencer tosses Chris a hot hot potato and Chris... well Chris tries. Does he need a thermom...

Greased Lightning

23 Oct 2024

Contributed by Lukas

Which is the best food product to cover a burn patient in? Spoiler: none. Join the guys as we learn from burn unit RN Erin Horrax that math sucks, pat...

Special Edition: Spencer Kills

16 Oct 2024

Contributed by Lukas

First rule about EMS 20/20... talk about it, constantly. Second rule... judge Spencer on our Instagram! Does he nail this code 99 call? Does he leave ...

We All Scream For Levophed!

09 Oct 2024

Contributed by Lukas

Spence, Chris, and the host of Nine One One Nonsense SAMANTHA BRAWLEY take on a critical care transport that was cold from the get go. The fish truly ...

Special Edition: Ruptured Confidence

02 Oct 2024

Contributed by Lukas

In this weeks MASTER YOUR MEDICS SPECIAL EDITION, Spencer throws Chris a call that requires both clinical prowess and bedside expertise as Spencer hop...

How I (didn't?) Kill Your Mother

25 Sep 2024

Contributed by Lukas

Let's go to the mall... today! ASHLYNN O'DELL joins the guys once again to go through everyone's favorite call: an uncomplicated refusal with absolute...

Special Edition: Lung Blooder

18 Sep 2024

Contributed by Lukas

CHECK OUT OUR INSTA AND VOTE! Spencer is dealt a HARD airway call by a cruel Chris! Listen and see how he does and vote to let us know how you feel!! ...

Chest Burster

11 Sep 2024

Contributed by Lukas

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 al...

Special Edition: Will Chris Choke?

04 Sep 2024

Contributed by Lukas

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)

28 Aug 2024

Contributed by Lukas

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...

Special Edition: Spencer Gets Breathing Room

21 Aug 2024

Contributed by Lukas

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...

Speeding Towards Sedation

14 Aug 2024

Contributed by Lukas

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 ri...

Special Edition: Chris is on Shaky Ground

07 Aug 2024

Contributed by Lukas

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 s...

Wonka's Weedy Wallop!

31 Jul 2024

Contributed by Lukas

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 ...

Special Edition: Pass or Flail?

24 Jul 2024

Contributed by Lukas

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 Patie...

UnTrue Lies

17 Jul 2024

Contributed by Lukas

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...

We Did Not Plan For This

03 Jul 2024

Contributed by Lukas

What happens when you have talented medics at a standby event... with no operation plan? Frustration and a little hilarity is what happens, and Spence...

Under the Bridge

19 Jun 2024

Contributed by Lukas

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 rescu...

Hurt

29 May 2024

Contributed by Lukas

EMS can be dangerous. Though incidents that truly threaten the lives of responding crews are not common, his leadership responds and supports those on...

All The Small Pills

22 May 2024

Contributed by Lukas

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...

LEGO my V-Tach!

08 May 2024

Contributed by Lukas

"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 lit...

T is for Terrible Manners

24 Apr 2024

Contributed by Lukas

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 respondi...

Please Don't Take Me There

10 Apr 2024

Contributed by Lukas

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 we...

It's Just My Arm... Promise.

27 Mar 2024

Contributed by Lukas

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 t...

Quick! To The Bat Scanner!

13 Mar 2024

Contributed by Lukas

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 tota...

Put The Bunny Back

28 Feb 2024

Contributed by Lukas

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 c...

Systemic Failure

14 Feb 2024

Contributed by Lukas

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 in...

It's All About the Delivery

31 Jan 2024

Contributed by Lukas

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 thi...

Vaguely Non-Emergent?

17 Jan 2024

Contributed by Lukas

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 ...

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

03 Jan 2024

Contributed by Lukas

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 the...

That's Kenough Ketamine!

21 Dec 2023

Contributed by Lukas

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 co...

Salmon Stabs Spaghetti

06 Dec 2023

Contributed by Lukas

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? ...

Choosy Medics Choose STEMI

22 Nov 2023

Contributed by Lukas

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

08 Nov 2023

Contributed by Lukas

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 d...

Railroading Rod

25 Oct 2023

Contributed by Lukas

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-us...

You're Tearing Up My Heart

11 Oct 2023

Contributed by Lukas

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... an...

Avoiding SeDEADtion

27 Sep 2023

Contributed by Lukas

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

13 Sep 2023

Contributed by Lukas

Crossing into Canadian terrain, Spencer and Chris delve into a call where a patient does their best attempt at refusing treatment for their... gunshot...

MI Bleed?

30 Aug 2023

Contributed by Lukas

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 sur...

Who has the Baby!?

16 Aug 2023

Contributed by Lukas

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, mak...

You Can't Make Me!

02 Aug 2023

Contributed by Lukas

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? D...

Methany and the Frog

19 Jul 2023

Contributed by Lukas

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

05 Jul 2023

Contributed by Lukas

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 episod...

Making a List... For Low SaO2

21 Jun 2023

Contributed by Lukas

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 o...

Snapping Necks and Calling Helis

07 Jun 2023

Contributed by Lukas

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. F...