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HomeMy WebLinkAboutquick-reference-guide-double-sequential-defibrillation FAQs Procedure Should we start Double-Sequential Defibrillation (DSD) as soon as we have two monitors available?  No. The first 3 defibrillations should be single monitor defibrillations. The 4th defibrillation should be DSD. Continue with DSD for the duration of the arrest.  Follow the manufacture setting for the first 3 single monitor defibrillations, and ensure o Zoll: 200J o LIFEPACK: 360J  Yes. Whether or not the patient has consistently been in a shockable rhythm or not, the 4th defibrillation should be DSD.  Yes. Any combination of monitors is fine, e.g., Zoll and LIFEPACK, Zoll and AED, LIFEPACK and AED. 1st Anterior/Posterior Defib Anterior/Posterior Continue with DSD for the duration of the arrest *** 4th Defib (DSD) 5th Defib (DSD) Quick Reference Guide Double-Sequential Defibrillation (DSD) VENTRICULAR FIBRILLATION | PULSELESS VT (Prepare for Transport) Anterior/Posterior Anterior/Lateral Anterior/Lateral