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It likely depends on the scenario. Often for EMTs or Paramedics to pronounce they're supposed to call medical control (a doctor somewhere) first. However there's exceptions for places with bad communications or if you can't reach medical control for other reason. Often the protocol is written like "for medical arrests terminate after 30 min or 3 consecutive 'No shocks advised' from an AED". And as stated above most protocols allow for CPR to not be initiated (which is tantamount to pronouncement if there's obvious signs of death such as lividity or traumatic injuries incompatible with life. The reason you're not finding it when looking it up is that such specifics aren't at the state level, they're at the individual service/medical director level.

As a previous member of the group that created Harbor City, that was a well known bug that just never went away. We always crashed in our SP/MP games after a while, but they never fixed it.