Phony Chest Pain

Phony Chest Pain

Author: Long Pause Media | FlightBridgeED March 12, 2025 Duration: 1:23:38
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's call with a curious conclusion.

Hosted by paramedics Spencer Oliver and Christopher Pfingsten, EMS 20/20 turns the ambulance bay into a classroom without walls. Each episode is built around the raw, unfiltered details of real emergency calls, dissecting the split-second decisions and complex scenarios that define pre-hospital care. The conversation moves beyond textbook protocols to examine the human factors, the unexpected complications, and the critical thinking that truly matters when the pressure is on. You’ll hear a frank analysis of what worked, what didn’t, and the practical lessons that only come from years on the road. This podcast serves as an ongoing dialogue for the EMS community, whether you’re a student building your foundation, a veteran medic refreshing your perspective, or simply someone curious about the realities of emergency medicine. The focus is always on the granular details of the job-the kind of insight that changes practice. It’s a deep dive into the art and science of field medicine, produced by Long Pause Media and FlightBridgeED. Tune in for a candid look at the challenges and nuances faced by responders every day, where every call has a story and every story has a takeaway you can use.
Author: Language: English Episodes: 236

EMS 20/20
Podcast Episodes
One of Our Own [not-audio_url] [/not-audio_url]

Duration: 1:37:11
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 [not-audio_url] [/not-audio_url]

Duration: 1:21:30
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 oxygen…
Minor Mistake, Major Consequence [not-audio_url] [/not-audio_url]

Duration: 1:13:34
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…
We're Gonna Need A Bigger Rig [not-audio_url] [/not-audio_url]

Duration: 1:27:14
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 o…
Shoulda Woulda Coulda [not-audio_url] [/not-audio_url]

Duration: 1:03:48
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 plac…
The Critical Truth [not-audio_url] [/not-audio_url]

Duration: 1:09:17
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 [not-audio_url] [/not-audio_url]

Duration: 1:18:51
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 [not-audio_url] [/not-audio_url]

Duration: 56:58
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 [not-audio_url] [/not-audio_url]

Duration: 1:16:16
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! [not-audio_url] [/not-audio_url]

Duration: 1:13:14
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!