St Emlyn's Blog and Podcast

St Emlyn’s is a long-standing online resource for emergency medicine and critical care, created by a team of UK clinicians based in Manchester. The project includes a blog, podcast, and teaching materials, all focused on sharing high-quality, evidence-informed insights from the frontline of acute care.

The podcast is hosted by Prof Simon Carly and Dr Iain Beardsell.

March 20, 2026

Ep 289 - Refractory VF, Double Sequential Defibrillation, and the Future of Cardiac Arrest

In refractory shockable arrest, repeating the same strategy late is rarely enough. The key learning point is to recognise refractory or recurrent VF early, distinguish vector change from double sequential defibrillation, and treat pad position and protocolled escalation as major determinants of defibrillation success.