Don't you just hate not remembering the start time for overtime shifts. I've nearly been in the similar position before...and the whole not shaving/unironed thing...been there before as well. Just intrigued about the whole transport thing for an asystolic patient. With a response time of 8 minutes, comms processing time realistically 1-2 minutes, and recognition time of at least 1 minute by the family this patient was a no go from the outset I would suggest. Is it LAS's policy to transport in this circumstance? I know that in our service, this patient would not normally have been transported - certainly age would not have been a valid reason. Our protocols state: if the initial rhythm in an unwitnessed cardiac arrest is aystole or PEA the survival rate approaches zero and it is usually inappropriate to begin resuscitation. If there has been no restoration of a palpable pulse after 20 minutes, then it is appropriate to stop resuscitation. If a patient has not been successfully resuscitated it is inappropriate to routinely transport them to hospital. I hate having to say to someone that x person is dead, when within reason in the sub 50 age group (and more so in the sub 30 group) they should have stood a better chance, but ultimately someone has to make that decision. We all know the 10% rule for each minute of a cardiac arrest rule, so realistically a large number of patients we respond to will never survive their cardiac event (etiology dependent). It makes you wonder if a) our medical director is cavalier or b) is he realistic. More food for thought anyway.