You know, I think that I've gotten ROSC on near half of the arrests that I've chosen to work. None have left the hospital that I'm aware of, but getting a pulse back hasn't been rare.
And I've heard the, "No one dies in my ambulance" my whole paramedic career, and have never really understood that. I've disconinued rescus attempts twice in the ambulance and chosen not to work a Hospice patient that coded during transport. I called into medical control and it was never an issue...
If honesty is vital in EMS then where is the advantage to working a dead body for 20 mins until you get to the ER where they can call it? I've heard a gazillion stories of leaving the BVM resting on their face, resting for 20 mins, and then resuming compressions before going into the ER so that the patient "didn't die in the ambulance"....what's the point?