 Dual simultaneous external defibrillation Also known as: Double sequential external defibrillation (DSED) Dual sequential defibrillation (DSD) Indication: Use only in refractory or intractable ventricular fibrillation (VF) after multiple attempts (at least 3 to 5 attempts) at defibrillation and appropriate medications have been given. Method: Apply TWO sets of defibrillator pads to the patient; one in traditional sternum/apex configuration and the other in anterior/posterior configuration. Some protocols suggest firing the defibrillators "sequentially" (less than 1 second apart), others recommend firing "as synchronously as possible" (simultaneously). Bottom line: Consider using high-energy, dual simultaneous defibrillation in patients with refractory VF only after high quality CPR, several attempts at defibrillation, and appropriate medications have been given. References: https://umem.org/ http://rebelem.com/ http://www.emsworld.com/ http://www.jems.com/ http://www.resuscitationjournal.com/   Comments are closed.
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