RideAlong: EMT School

EMS 20/20 Simulcast - Split the Party


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EMS 20/20 Simulcast - Split the Party

This one’s different—and honestly, one of the most fun (and chaotic) things we’ve ever done.

The RideAlong crew teamed up with EMS 20/20 for a special simulcast episode where EMS meets Dungeons & Dragons. Guided by Chris and Spencer, we were dropped into a high-stakes, dice-driven scenario that quickly spiraled into full-blown EMS chaos.

What started as a straightforward cardiac arrest turned into a two-patient nightmare, tough decision-making, and the kind of curveballs you only get in real EMS—or a tabletop scenario run by EMS 20/20.

This episode is a mix of education, improvisation, and a lot of laughs… but underneath it all is a real look at teamwork, scene management, and thinking under pressure when everything goes sideways.

Huge thanks to EMS 20/20 for having us on—go give them a follow and check out their show.

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Episode Breakdown

00:00 – RideAlong intro + setup for the collab

00:00:32 – Episode concept: EMS scenario meets D&D-style gameplay

00:08:04 – EMS 20/20 intro + scenario rules explained

00:14:14 – Dispatch: 70 y/o male, AMS, difficulty breathing

00:17:40 – Update: CPR instructions in progress

00:22:02 – Arrival on scene + access problem (locked house)

00:30:50 – Patient contact: CPR in progress, chaotic scene

00:37:24 – Additional responders arrive (team expands)

00:44:04 – Second patient identified (spouse deteriorating)

00:56:00 – Cardiac arrest management continues (ALS pending)

01:07:24 – ALS arrives, dual-patient management begins

01:18:21 – STEMI identified → flight activated

01:35:44 – Air medical arrival + patient transfer

01:42:07 – Cardiac arrest declines to asystole

01:46:09 – Decision point: termination of resuscitation

01:52:11 – Scenario breakdown + lessons learned

02:11:48 – Key takeaway: BLS can (and should) activate flight when needed

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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.

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🚑 RideAlong: EMT School Links

https://www.RideAlongEMTSchool.com

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RideAlong: EMT SchoolBy Mike Fiore | Max Lizana | Jonathon Aldridge