I had a patron struck by lightning last summer at a classical music venue I work at. Fortunately,a LEO/EMT and I were close by. We found his pulseless, apnic and facedown in the mud. He had been holding an umbrella, and with his children standing on either side, under the umbrella. Lightning branched off and hit a tree and the umbrella itself at the same time, so we couldnt tell if a branch hat hit his head...?
We flipped him over, and began 2-person CPR. After about 1.5 minutes, we got a pulse back spontaneously, and the pt started breathing after another 30 seconds. By that time, we had a board, and loaded the patient into the ambulance.
En Route to the hospital, pt was semi-conscious, vomiting, and recovered with little neuro deficits. I do believe he had an inner-ear injury from the sound of the lightning/thunder (I certainly thought I did!).