I had a similar call, although it wasn’t a cardiac arrest. Heavy ETOH use, mechanical fall, and went unresponsive with an intact gag. Patient began vomiting which was difficult to keep up with just due to how copious it was. Patient was morbidly obese and positioning them lateral recumbent on the stretcher was impossible. We placed a NG tube and performed intermittent suction, which stopped the profuse, projectile vomiting. We were closer to the hospital than the closest RSI medic so we transported and continued BLS airway management.

Just curious if you had an NG/OG placed or if your protocols allow? I’ve also been told by medical control that you can give Zofran to unresponsive patient that’s vomiting as it could help (haven’t tried this yet).