As of April 2nd today EMS medical teams unable revive a patient with a heart attack on the call they can not bring the patient to the ER.

MM, he is not reporting on a specific patient. He is talking about a new EMS guideline. Previously, EMTs would do CPR and transport to an ER.

These are horrific times, Joel. But you provide no information on this patient as to his/her condition or other conditions.

Before the pandemic, if the EMS can't revive the patient, would they continue CPR on the way to the ER or at some point call the death?

Returning to our current situation, as you say, the ERs are overwhelmed. Medics are exhausted and getting sick themselves. Tough decisions must be made in times of crisis. It's terrible, and I have no doubt the medics are hating it more than anyone.

NYS EMS is totally overwhelmed. The ERs are overflowing (I live around the corner from a hospital; the morgue is a refrigerator truck parked out in front; a fork lift is moving bodies).

We havent yet gotten to where Italy was, rationing care away from those over 65. But we will be there in a week or so. This is what ignoring science looks like, sadly.