Two Defibrillators and Two Cases are Better than One

It was with great enthusiasm that we read the article by Leacock entitled, "Double Simultaneous Defibrillators for Refractory Ventricular Fibrillation" (1). Interestingly, we recently also had an extremely similar case describing the simultaneous use of two defibrillators for refractory ventricular fibrillation (VF) (2). Our respective case reports are similar in that the maximum defibrillation current (200 Joules [J]) delivered from a single biphasic defibrillator was ineffective, and it was not until the delivery of 400 J of current that the VF was terminated.

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