External Defibrillator Damage Associated With Attempted Synchronized Dual-Dose Cardioversion

Neal S. Gerstein, A. Robb McLean, Eric Stecker, Peter Schulman

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

The simultaneous use of 2 external defibrillators to administer either dual or sequential cardioversion or defibrillation for refractory cardiac arrhythmias is increasing in both the out-of-hospital and inhospital settings. Using 2 defibrillators to administer higher energy levels than can be achieved with a single defibrillator is considered off-label and is currently not part of published advanced cardiac life support guidelines. We report the first case in which the use of dual-dose cardioversion was associated with external defibrillator damage. Because defibrillator damage, especially if undetected, jeopardizes patient safety and off-label medical product use may void the manufacturer's warranty, this case should urge users to proceed with caution when contemplating this technique.

Original languageEnglish (US)
JournalAnnals of Emergency Medicine
DOIs
StateAccepted/In press - 2017

ASJC Scopus subject areas

  • Emergency Medicine

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