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Visit our website for more podcast episodes on Evidence Based Medicine: http://emsnation.org/ Double sequential defibrillation is a procedure that may be helpful in the treatment of refractory ventricular fibrillation (RVF) in the out of hospital environment. This module demonstrates the procedure of double sequential defibrillation which is included as a medical control consideration for instances in which ventricular fibrillation persists after five shocks. Further research will be required to determine the optimal treatment strategies for RVF. Double sequential defibrillation is not considered part of the minimum standard of care at this time. Nonetheless, providers will be instructed on how to properly perform this procedure in the event that a medical control order is granted for this treatment option. Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P Faizan H. Arshad, MD / emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP / 87md1 Subscribe to iTunes: https://itunes.apple.com/us/podcast/e... Like us on Facebook: / prehospitalnation Follow us on Twitter: / ems_nation