Case scenario: Paramedics are called to the home of a 59-year-old male patient with an LVAD who was found unconscious and unresponsive by family members. He was last seen two hours earlier acting normally. There is no evidence of trauma. Family members are unaware of any recent illness or mechanical issues with his LVAD.

Your assessment is notable for warm but pale skin, lack of palpable pulses, LVAD with low-flow alarm but audible hum and apneic respirations. After intubation, EtCO2 shows no wave form. How should paramedics proceed?