Double Sequential Defibrillation

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