Which factor does NOT warrant initiation of transport and continued resuscitation?

The factor that does not warrant initiation of transport and continued resuscitation is the positive response to the first dose of naloxone. While a positive response indicates that the patient may be experiencing an opioid overdose and that the naloxone was effective in reversing its effects, it does not, in itself, necessitate continued resuscitation efforts or immediate transport.

In many cases, if a patient responds positively to naloxone, they may stabilize and not require further intervention beyond monitoring. This is different from factors such as the presence of a shockable rhythm, which indicates a critical state requiring life-saving interventions, or provider discretion under base order, which allows for tailored actions based on clinical judgment. Similarly, patient age under 18 typically involves considerations of pediatric protocols, which may dictate a different course of action. Thus, the positive response to naloxone does not inherently justify the need for ongoing resuscitation or transport like the other factors do.