Hey, folks, Scott Weingard here, and this is an M-Crit-We. Today, we had some questions about an episode

I had done recently with Sheldon Cheskes on all things defibrillation, and especially dual

sequential defibrillation, vector change, et cetera. And since that episode, it got a lot of

discussion, and I got some questions from people I know are

resuscitation experts. So I posed them to shell and we just decided the easiest way to answer

them is just do a second episode. Now, as we were getting ready to publish this, something big

happened that I'll discuss at the end in terms of the European Resuscitation

Council, but it's not big in a good way. So even if you're not interested in the geeky stuff,

skip to the last, I don't know, five minutes for certain because there is important stuff that

you may be able to help us on. All right. With that said, let's get right into the show.

Excellent. All right. So, Shelly,'s get right into the show. Excellent. All right.

So, Shelley, you're back because questions came up after the amazing episode we did on

defibrillation. And I say the amazing because it's entirely you. And the information in there,

it was so dense and so much good stuff. But some of my very smart buddies in the resus world said,

yeah, but Scott, when I look at the diagram in the New England journal paper,

those pads for the AL were placed really medial. And they're pointing to a diagram that has

just a horizontal pad placement with part of the pad medial to the nipple line.

And they're like, if they had only placed the pads properly, then maybe the trial would have

been different. And I reached out to you, you're like, Scott, we didn't place the pads there.

You sent me a whole bunch of images where the pads were actually placed from your training

material. And it's pretty clear. The pads are placed exactly

where they're supposed to be. So tell me about the origins of that diagram, how your anticipation was

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