Best Long Pause Media Flightbridgeed Podcasts (2025)

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PMHX: NoFX - Episodes 1-3 19:54

Play Pause

5d ago19:54

19:54

PMHX: No FX is the official aftershow for Past Medical History: The Story of EMS. Each week, creator and co-hosts Sophie, Evan, and some occasional special guests break down the episode in a raw, unscripted conversation about the story, the research, the decisions, and the creative process behind the scenes. No sound design. No effects. Just the hu…

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The Toxicity of This Lady 1:56:39

6d ago1:56:39

1:56:39

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?By Christopher M Pfingsten

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After The Guns Fall Silent 35:24

7d ago35:24

35:24

When the guns stop firing, the dying doesn’t end. In this episode, we follow the story of a wounded Union lieutenant left to perish on the field at Second Bull Run. He is abandoned not by fate, but by a broken system. That single tragedy may have become the turning point for a quiet, analytical surgeon named Jonathan Letterman. From the coal-smoked…

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Special Edition: Pregnant Pause 1:07:08

13d ago1:07:08

1:07:08

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 interrupted by a seizure call...By Christopher M Pfingsten

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The Doctor Who Refused To Wait 24:41

14d ago24:41

24:41

In 1793, the French Revolution burned across Europe. Amid the chaos, a young surgeon named Dominique Jean Larrey refuses to stand idle as wounded soldiers bleed and die where they fall. Against orders and tradition, he builds a system that will change the fate of the injured forever... a flying ambulance that brings care to the battlefield itself. …

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L.A.S.T. Call 1:30:31

20d ago1:30:31

1:30:31

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 this all BLS crew come to the right conclusion?By Christopher M Pfingsten

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Nobody is Coming to Save You 19:03

21d ago19:03

19:03

In 1783, a young merchant’s son lies dying on a frozen Scottish road, his leg shattered, his lifeline severed, and no help in sight. Before ambulances, before medicine as we know it, survival depended on luck, distance, and the kindness of strangers. Through one man’s struggle to survive, Past Medical History: The Story of EMS traces the origins of…

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Special Edition: The Shootout 1:42:01

27d ago1:42:01

1:42:01

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!By Christopher M Pfingsten

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Freedom From Incompetence! 1:46:40

1M ago1:46:40

1:46:40

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 mighty bald eagle weep for this patient? Listen and find out!By Christopher M Pfingsten

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Ep 104 - The IV vs IO Trials 26:29

1M ago26:29

26:29

Right on the heels of the release of the 2025 AHA guidelines, including one on preferentially using IVs over IOs, comes two RCTs in the same edition of NEJM that compare intial attempts with IVs to IOs in out of hospital cardiac arrest. Dr Jarvis discusses these two papers while answer a listeners question, and tries to put this, and early epinephr…

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Halloween Special Edition: The Death Shift 53:49

1M ago53:49

53:49

In 1981, the night shift at Bexar County Hospital in San Antonio earned a name whispered in fear... the Death Shift. Tiny lives in the pediatric ICU began to fail without warning. Alarms blared. Monitors flatlined. And at the center of it all stood one nurse whose touch brought not healing, but horror. In this Halloween Special Edition of Past Medi…

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Special Edition: Did They Slip or Knot? 1:39:28

1M ago1:39:28

1:39:28

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 this difficult call into a success? Vote now on Instagram!By Christopher M Pfingsten

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Where the Story Begins 0:58

1M ago0:58

0:58

Step inside the ambulance of history. Past Medical History: The Story of EMS is a cinematic documentary podcast that unearths the wild, untold, and sometimes downright eerie origins of modern emergency medicine. Hosted by flight paramedics Evan Claunch and Sophie Fuller, this isn’t your typical medical lecture, it’s an adventure through time. Throu…

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Trouble In The PlayPlace 1:44:14

2M ago1:44:14

1:44:14

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 'nurse' bystander. Do the guys sort things out and figure out what's what (and importantly, whose who)? Listen and find out!By Christopher M Pfingsten

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Illumination of the Envenomation Situation 44:07

2M ago44:07

44:07

When a paramedic in Kentucky faced a dying patient and a vial of antivenom, he had to make a split-second decision that could save a life… or end his career. In this episode of The Standard of Care Podcast, hosts Samantha Johnson and Nick Adams unpack one of the most talked-about EMS legal stories of the year: a paramedic who administered a rare an…

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Slay Thy Assumptions! 1:33:26

2M ago1:33:26

1:33:26

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? Listen and find out!By Christopher M Pfingsten

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Special Edition: Heated Reaction 1:19:12

2M ago1:19:12

1:19:12

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 things harder? Of course he does. VOTE now!By Christopher M Pfingsten

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Ep 103 - Preeclampsia, Eclampsia, and Postpartum Hemorrhage 49:48

2M ago49:48

49:48

ACOG, the American College of Obstetricians and Gynecologists, recently published EMS guidelines for treatment of hypertension in pregnancy/pre-eclampsia, eclampsia, and postpartum hemorrhage. Drs. Jenna White and Christopher Zahn join Dr Jarvis to discuss the science behind these recommendations as well as how to implement them into our practice. …

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Altered Addison's 1:36:38

2M ago1:36:38

1:36:38

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 episode!By Christopher M Pfingsten

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Special Edition: Unhappy Meal 1:33:17

3M ago1:33:17

1:33:17

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 success, or does his clinical skill belong on the dollar menu? Vote now!By Christopher M Pfingsten

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Hot Pursuit, Hotter Patient with RAINN WILSON 1:34:13

3M ago1:34:13

1:34:13

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 push against the tide to get the right thing done? Can Chris expand his vocabulary? Check out CODE 3 starring RAINN WILSON in select theaters NOW!By Christopher M Pfingsten

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Special Edition: Damnit Jerry! 1:26:40

3M ago1:26:40

1:26:40

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 do? Visit our Instagram to find out!By Christopher M Pfingsten

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Ding Dong, The Patient's... Dead? 1:21:27

3M ago1:21:27

1:21:27

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 brick road to get their questions answered? Click your rube red slippers three times and be transported away to a land of not quite death but maybe some destruction.…

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Ep 102 - Ketamine for Agitation with Dr Crowe 40:10

3M ago40:10

40:10

You use ketamine. I use ketamine. We all use ketamine. But… how safe it is, really? A new study out of Toronto suggests 30% of patients who receive ketamine have adverse events, a rate higher than seen in the ED. What are we to make of this? I bring Dr Remle Crowe on to discuss… Citations: 1. Kwong JL, Verbeek PR, Leong YC, Turner L, Huiskamp M, Dr…

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Special Edition: It Can't Be THAT Simple... Can It? 1:41:52

4M ago1:41:52

1:41:52

Chris is in the hotseat and immediately starts over thinking a call involving a possible stroke... or UTI... or hypoglycemia... or alcohol? Check out @ems2020show in Instagram and vote on his performance!By Christopher M Pfingsten

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Ep 101 - PreOxygenation and Why Words Matter 34:55

4M ago34:55

34:55

We've covered pre-oxygenation strategies and intubation alot on this podcast, mayber more than anyting else. We covered the definition of FPS in E74, the DEVICE trial on DL vs VL in E75, and the PREOXI trial of NIV vs Mask Pre-oxygenation in E86. Now we have another Preoxygenation paper, this one that reports no difference between preoxygenation wi…

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Paralyzing Yourself to Refuse 1:35:23

4M ago1:35:23

1:35:23

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 Darkness into the fray as we sort out and angry MVA patient that has more issues than they realize.By Christopher M Pfingsten

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Special Edition: Oops! All Trauma! 1:44:07

4M ago1:44:07

1:44:07

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

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Minute Ventilation Mastery & The Obstructive Lung Mindset – with Scott Weingart 43:58

4M ago43:58

43:58

Episode Description In this powerful and highly practical episode, Eric Bauer is joined by Dr. Scott Weingart for a deep dive into mechanical ventilation strategy, critical thinking in metabolic acidosis, and the nuanced management of obstructive lung disease. You’ll hear honest, experience-driven insights that challenge outdated protocols and prov…

1
Self Inflicted Surgery 1:44:55

4M ago1:44:55

1:44:55

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 animals, and a goat is suspect for attempted murder. Maybe.By Christopher M Pfingsten

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MDCAST: Beyond the Blade - Redefining Airway Success in Transport 41:43

4M ago41:43

41:43

In this episode of the FlightBridgeED Podcast, Dr. Mike Lauria welcomes back Dr. Nick George to dissect a topic that’s long overdue for critical discussion: airway management in critical care transport—and whether your background matters. Does being a paramedic or a nurse predict first-pass success rate? Does prior training or clinical experience t…

1
Special Edition: Face the Pain 1:29:56

5M ago1:29:56

1:29:56

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 management. Does Chris prevail? VOTE NOW ON INSTAGRAM! @ems2020showBy Christopher M Pfingsten

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MDCAST: Aortic Emergencies - What You Need to Know, But Were Never Taught 47:13

5M ago47:13

47:13

In this episode of the FlightBridgeED Podcast, Dr. Mike Lauria is joined by Dr. Nick George, a retrieval and EMS physician currently practicing full-time in Darwin, Australia. Together, they break down the often-overwhelming topic of aortic emergencies in a way that’s brilliantly simple, practical, and immediately applicable for all providers—wheth…

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Ep 100 - Amio v Lido in OHCA w Tanner Smida 42:31

5M ago42:31

42:31

The 2017 NEJM study, ALPS, compared amiodarone, lidocaine, and placebo for refractory shockable rhythms in adults with out of hospital cardiac arrest. They found no significant difference in survival to hospital discharge or functional survival between any of the arms. If that study has left you confused, you’re not alone. And you’re in luck. Tanne…

1
Bold Strategy Cotton 1:47:11

5M ago1:47:11

1:47:11

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 gasping and... dying?By Christopher M Pfingsten

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Bleeding Out: The Trauma We Can Actually Fix 46:35

5M ago46:35

46:35

In this powerful and unfiltered episode, Eric Bauer sits down with Dr. Mark Piehl—pediatric ICU physician, trauma resuscitation expert, and inventor of the LifeFlow device—for a deep conversation that will reshape how you think about blood product administration in trauma care. From pediatric hemorrhagic shock to adult penetrating trauma, from urba…

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Summer, Bloody Summer 1:00:03

5M ago1:00:03

1:00:03

Get ready for a transformative episode of the FlightBridgeED Podcast, where host Eric Bauer teams up with EMS trailblazer Dr. Peter Antevy to dive into the life-saving world of pre-hospital hemorrhage control and blood product administration. Discover how whole blood is reshaping trauma care, doubling survival rates for patients bleeding out from t…

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Ep 99 - Adenosine or Diltiazem for SVT? 34:08

5M ago34:08

34:08

We just got a new paper that compares initial treatment with adenosine compared with diltiazem for the treatment of adults with SVT in the ED. Wouldn’t it be great if it turned out that diltiazem was just as effective, if not more effective, as adenosine without the crappy feeling? Yeah, that’d be great, but what do we do with statistically insigni…

1
Special Edition: Little Altered Man 1:26:50

5M ago1:26:50

1:26:50

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 out a 2, or is he leaving you waiting for more? Vote on IG!By Christopher M Pfingsten

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Sus 4 CO 2:03:25

6M ago2:03:25

2:03:25

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? Listen and find out on this OD turned CO!By Christopher M Pfingsten

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Special Edition: Recipe for Disaster 1:33:00

6M ago1:33:00

1:33:00

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 needs. Is Chris the missing ingredient that ties the whole dish together, or does he completely ruin the flavor profile? VOTE ON INSTAGRAM!By Christopher M Pfingsten

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Ep 98 - Does the Sequence of RSI Medications Matter 32:20

6M ago32:20

32:20

The next time you go to intubate a patient, should you give the sedation before the paralytic or the paralytic before the sedative? Does it matter? And what the hell does Bayes have to do with any of this? Dr Jarvis reviews a paper that uses Bayesian statistics to calculate the association between drug sequence and first attempt failure. Then he re…

1
Bullet(s) With Butterfly Wings 1:38:39

6M ago1:38:39

1:38:39

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? Listen and find out!By Christopher M Pfingsten

1
Special Edition: He's Choking Now 1:24:07

6M ago1:24:07

1:24:07

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 grace? Let us know and vote on our IG! @ems2020showBy Christopher M Pfingsten

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MDCAST: Open Abdomen Transport 54:22

6M ago54:22

54:22

In this episode of the FlightBridgeED Podcast, Dr. Michael Lauria sits down with Dr. Bryce Taylor—flight physician, trauma educator, and surgical critical care expert—for a deep dive into one of the most visually shocking and physiologically demanding scenarios in transport medicine: the patient with an open abdomen. From trauma-based damage contro…

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E97 - Bayes and Calcium Before Diltiazem in Atrial Fibrillation 38:20

6M ago38:20

38:20

We covered a paper in episode 81 that suggested treating atrial fibrillation with rapid ventricular response in the field could lower mortality. But it also drops BP a bit. Could pretreating these patients with calcium lower the risk of hypotension? Dr Jarvis puts on his nerd hat and uses Bayesian analysis to assess a new randomized, placebo-contro…

1
Prepare for Unforeseen Consequences 1:21:46

6M ago1:21:46

1:21:46

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 hidden pit? Listen and find out!By Christopher M Pfingsten

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Special Edition: Gambling with Grumpy 1:29:08

7M ago1:29:08

1:29:08

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 on his face? Vote on our Instagram!By Christopher M Pfingsten

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Get Out of My Head! 1:32:02

7M ago1:32:02

1:32:02

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 exciting and surprising episode!By Christopher M Pfingsten

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No Right Answers! 1:52:25

7M ago1:52:25

1:52:25

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 miss a vital intervention that leads to a dead end?By Christopher M Pfingsten