![]() In recent years, there has been a growing number of studies comparing DSED with standard defibrillation, but the final results vary. Current research in the treatment of RVF has shown promise for DSED in the management of RVF, in addition to conventional standard defibrillation. DSED is a technique that uses two separate defibrillators and two sets of electrode pads, with the defibrillation pads placed in two different planes, usually anterolateral and anterior-posterior, to deliver two consecutive shocks in close proximity ( 5, 6). RVF was defined as a patient presenting with ventricular fibrillation, having three consecutive standard defibrillation attempts, and remaining in ventricular fibrillation at the fourth rhythm analysis ( 4). However, RVF is uncommon, poorly treated, and has a high mortality rate of 85% to 97% ( 1). ![]() More than 350,000 adults die each year in the United States from out-of-hospital cardiac arrest, including 100,000 from ventricular fibrillation or pulseless ventricular tachycardia (VF/VT) ( 3). ![]() Although excellent progress has been made in the field of cardiopulmonary resuscitation (CPR), the survival rate of patients treated with CPR remains low and many of those who survive have persistent neurological impairment. Out-of-hospital cardiac arrest (OHCA) is the leading cause of death and disability in public health events worldwide ( 1, 2). In this systematic review and meta-analysis, 10 studies containing 1347 patients with available data on treatment outcomes were included. ![]()
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