The patient presented to the iru (interventional radiology unit) for planned cardioversion.The defibrillator pads were placed in the anterior/posterior position ¿ the preferred positioning for cardioversion.The patient¿s chest was prepped correctly, he did not have excessive chest hair, and the pads were appropriately adhered to the chest and back.Conscious sedation was performed for the procedure.Biphasic synchronized cardioversion was performed at 200, 300, and 360 joules.During the third defibrillation, the nurse noticed a small spark on the upper left corner of the anterior defibrillation pad.The defibrillator pads were removed, the skin was noted to be red in both areas, but no burns were noted.
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