This is a patient I recently dealt with while working targeted ALS. It was a highly unusual situation and I think it's well worth throwing out for the EMTCity local to play with. Let's start with how you would manage this patient and go from there. I'll chime in with what I actually did and the outcome later on.
Initial dispatch info:
85 y/o female patient, Chest Pain with SOB.
BLS (PCP crew so think EMT-I) arrived first to patient with declining LOC, Bradycardia, SOB, Pale, diaphoretic. Patient arrested in BLS presence with CPR, PPV, AED applied immediately (one non-shockable rhythm analyzed prior to our arrival).
We arrived to BLS crew working the arrest 4 minutes into the resuscitation. The patient patient was found to be in an asystole with absent pulses. The kicker (pun intended) is that the patient was also combative with good CPR (kicking, pulling at the BVM, I'm talking a 2-2-5 total of 9 GCS).
That's all I'm giving up for now.