It is unusual to transport a patient to a hospital if return of spontaneous circulation (ROSC) is not achieved in on-scene. E.g, in San Francisco's protocols,

It is unusual to transport a patient to a hospital if return of spontaneous circulation (ROSC) is not achieved in on-scene. E.g, in San Francisco's protocols, if a patient doesn't regain a pulse after 30 minutes of CPR, the patient is declared dead and not transported to the hospital (unless the base hospital requests transport, which is rare). See policy 4050-II-2 (Medical Indications). https://www.sfdph.org/dph/files/EMS/Policy-Protocol-Manuals/EMS-AGENCY-POLICY-MANUAL-030319.pdf https://www.sfdph.org/dph/files/EMS/Policy-Protocol-Manuals/... From that perspective, I'm surprised that the old policy existed. With respect to getting a pulse back, there's not much that can be done in a hospital that can't be done in the field. (Of course, after a pulse returns, then the hospital can do lots of things that can't be done on-scene).