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Double Sequential Defibrillation

For patients in refractory V-fib you can try double sequential defibrillation. Here we show where to place the pads and how to do the procedure. Presented by Jess Mason, MD. Special thanks to Salim Rezaie, MD for his fantastic blog post: http://rebelem.com/beyond-acls-dual-s... References: Merlin MA, Tagore A, Bauter R, Arshad FH. A Case Series of Double Sequence Defibrillation. Prehospital Emergency Care. 2016 Jan 29:1-4. Cabanas JG et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Perhaps Emerg Care 2015; 19 (1): 126 – 130. Hoch DH et al. Double Sequential External Shocks for Refractory Ventricular fibrillation. JACC 1994; 23: 1141 – 5. Leacock BW. Double Simultaneous Defibrillators for Refractory Ventricular Fibrillation. JEM 2014; 46 (4): 472 – 74. Visit EMRAP.org for all your Emergency Medicine education!