Per Ref. 814, Determination/Pronouncement of Death in the Field, the Base Physician must determine the decision for transport or termination for patients who do not meet criteria for termination of resuscitation in section II.A. This is based on the physician’s assessment of the patient’s chances of meaningful survival. This has not changed during the COVID-19 pandemic. On-scene resuscitation to achieve ROSC prior to transport optimizes the patient’s chances for a good outcome. If futility is determined by the Base Physician, the patient should not be transported to the hospital.