Spencer is in the hotseat! And this call is really, really wild. Quick, do you think a heard of elephants can clearly mark an LZ?

Today we hear the tale of Paramedic that has the self awareness of a monarch wearing some new fangled, conditionally visible fabric. Does this bode well for the patient and their partner? Listen and find out!

Chris is in the hotseat as Spencer gives him a call with strong ties to a past episode. Does Chris figure it out in time? Or does he KILL HIS CREW?!?!?!

Chris discovers a sound board as Spencer goes through the call... backwards? Start at the end and end at the beginning for the wild ride, complete with dramatic movie quotes.

Spencer is in the hot seat and performs quite well! He has the world's most annoying intern, but thankfully a helpful partner and PD as well. How does he do? Listen and find out!

Friend of the Show QANTU joins us for a Titanic Sized episode! Will the efforts to pace a patient be the life boat that's needed? Or will this patient be kicked off the floating door and die an icy death?

Dr. Will Heuser join the crew in a an altered LOC mystery! Intubation, a mystery of a history, and a blood pressure that is not cooperating with authorities. Will and the guys will also be at FAST26, get your tickets now! fbefast.com

Special Guest GEOFF MURPHY of Master Your Medics fame joins the guys for a trip around the game board as a Canadian crew navigate the harsh realities of the unknown reasons someone could be altered... with a STEMI. Maybe.

Chris finds the effects button on the mixer as Spencer relays a call that shows everything that can go wrong when systemic, cultural apathy sets in deep in a system.

Chris has his worst luck yet, as he finds an altered patient, and angry wife, and absolutely no help. How does he do? Vote on our IG! @ems2020show!