Failed to resuscitate...

As a medical practitioner who has been rotated to different departments while serving the government for 4 years, the longest posting that i did was in Emergency and Trauma. Over there, i've seen all kind of cases, ranging from normal cough and cold to accident (trauma) with multiple fractures, accident victims, etc..
Upon completing the duration of my service, the very next day i wrote a letter to the hospital administration body that i am quitting..... with immediate effect.
2 days later, i was already in Brisbane doing my cosmetic training.
So, the moment i started this clinic, i knew i would have to stay on guard for emergency cases.
What can i do since its a GP and Cosmetic clinic.
So i was sitting in my consultation room, surfing the net, when suddenly a very distressed middle age lady came in crying and wanted a see a Dr fast. She told me one of her family member, 60 year old man who collapsed after coming out from the bathroom.
I wasn't sure how long since it happened.As soon as i arrived, and went straight to the third floor where the man was laying. The moment i entered the room, my first instinct was this man is already dead. His face was cyanosed , wasn't breathing, and no pulse.
I carried along GTN(glyceryl trinitrate, and a few aspirin with me, since i though he was HAVING a heart attack.
I quickly evaluate the man, his pupils are fixed and dilated- which is NOT A GOOD SIGN.
All i could do was CPR( honestly speaking, this man might have not been breathing for about 10 minutes when 3 minutes could comatosed a patient, if he survive.
I was alone doing CPR and urge the family to call the ambulance.
I am sure most of you guys know what is CPR, right. Chest compressing and mouth to mouth.
Anyway, for hygeine purposes, I asked for a magazine and rolled it up and insert into his mouth, then blow my breath into him.
about 20 minutes later of continuing CPR, the ambulance people arrived. I expected them to bring along some IV drip set, adrenaline and atropine with them. But they were hesitant to use it.
So, the MA(medical assistant) called up his doctor and mentioned the patient's condition.
When the doctor refuse to accept the patient, i spoke to her personally. Her rationale was that patient who was asystole( no cardiac activity) and attempted resuscitation for more than 20 minutes but still not responsive, the patient is as good as dead. She mentioned that if this patient goes to Sungai Buluh hospital, she will send the body straight to the mortuary!!! ..... what the hell?
there were about 13-15 family members who stood there, and kept on calling him, i felt pretty bad, since i already knew this man would not able to make it.
By the time they decide to send him to a private hospital, the nearest would be Damansara Specialist Centre. Though the ambulance personnel are from Government hospital, they are kind enough to break the rule and helped to send him. While in the ambulance, I was still doing CPR the whole way non stop.. it was about 45-50 minutes since the patient collapsed.
Personally, i believe its only proper to listen to the family members pleas to send him to a hospital. They wouldn't have accepted the fact that the man died without an active intervention.
My shoulder and back are sore from the non stop chest compression.
The moment we arrived in Damansara Hospital, he was immediately taken to the resuscitation area.
I spoke to a few family members and i thought its only fair, or the least i can do is to be honest when informing the prognosis. Even if he manage to survive, we would have been in coma and bedridden.
I left my clinic for 2 1/2 hours, and my nurse informed me that there were several patients who came and walked out when knowing the Dr is not around.
The victim's brother was kind enough to drive me back to my clinic. On the way, we did some chit chatting. Apparently this man has got an irregular heart beat, arrhythmia... and wasn't compliant to his medication.
I was exhausted when i reached the clinic.
At around 8.30pm, the lady who came to my clinic earlier came back to inform me that the patient had passed away and asked if there any charges for my help, its only fair to charge if the patient managed to be saved. So, i refused to accept payment from her.
Another reason why i would want to send him to a hospital besides the fact that they are well equipped and at least an active intervention was done before pronouncing his death. Pronouncing death on the scene would probably wouldn't be accepted by members of the family.
Secondly, if somebody died in their own home, they would have to call the police to take the deceased for a post mortem.
I can't say that to the already distressed family as it would add to their already emotional state.
So, the lessons are,
1, Do not be ignorant when comes to health.
2. Go to your doctor to perform a full body checkup annually. Do not hesitate or procrastinate.
3. I've got to know that this man was a super hardworking business man who just recently decided to go slow in his career in business, and enjoy the fruit of his hardwork.
4. Life is unpredictable. There is nothing permanent in life.Live life to the fullest. Do whatever that you've been contemplating to do. Spend more quality time with family.

Well, i am sympathetic and wish the family members my deepest condolence. Without the necessary monitors, medicine, IV lines..(ops.. sorry, i have that), its impossible to resuscitate a heart that has stopped beating. I have tried my very best with whatever i have.