UPDATE 11:25am
The man has been transported to the John Hunter Hospital in a critical condition.
EARLIER:
A man has been pulled unconscious from the surf at Merewether Beach.
NSW Ambulance Paramedics were called to area at about 10:15 this morning.
Lifeguards reportedly pulled the man from the surf who was lying face down.
Four ambulance crews were called to the scene.
The man aged in his 50s reportedly went into cardiac arrest and NSW Ambulance say they are still on the scene.
More details to come.