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1 results

  • Make it two: A case report of dual sequential external defibrillation

  • Colin R. Bell, Adam Szulewski, Steven C. Brooks
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 20 / Issue 5 / September 2018
    Published online by Cambridge University Press:
    07 June 2017, pp. 792-797
    Print publication:
    September 2018
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  • Dual sequential external defibrillation (DSED) is the process of near simultaneous discharge of two defibrillators with differing pad placement to terminate refractory arrhythmias. Previously used in the electrophysiology suite, this technique has recently been used in the emergency department and prehospital setting for out-of-hospital cardiac arrest (OHCA). We present a case of successful DSED in the emergency department with neurologically intact survival to hospital discharge after refractory ventricular fibrillation (RVF) and review the putative mechanisms of action of this technique.