If the choice is available, biphasic waveform devices have greater efficacy than monophasic.In terms of the selection of energy level, Mittal et al provides a protocol for escalating shock energies on monophasic and biphasic devices with reported efficacy of each energy level. #Management #EBM #EM #IM #Cardiology #Cardioversion #Efficacy #Monophasic #Biphasic #Joules