Video narration
Now let's look at the classic internal circuit. It contains a high-voltage DC supply, a capacitor, a switch, an inductor, and the patient, represented as the electrical load. The switch has two important positions: charge and discharge. During charging, the switch connects the high-voltage supply to the capacitor. Current flows from the supply into the charging circuit, and opposite charges build up on the capacitor plates. The voltage across the capacitor rises, and more energy is stored. The discharge pathway through the patient remains disconnected, so the shock is not being delivered yet. When the selected charging voltage is reached, the charging process stops. Now the switch changes position. The high-voltage charging supply is disconnected from the capacitor, and the capacitor is connected to the discharge pathway containing the inductor and the patient. The capacitor now acts as the energy source. Its stored energy drives a brief current through the discharge circuit and the patient's chest. At the beginning of discharge, the current changes rapidly. The inductor opposes this rapid change, influencing how the current develops over time. As the capacitor loses its stored energy, its voltage falls, and the current eventually decreases. In the classic damped-sinusoidal circuit, the current rises and then falls, producing a brief pulse. The energy initially stored in the capacitor is not all delivered to the patient. Some is lost in the circuit, and the amount delivered also depends on the defibrillator design and the patient's electrical impedance. Now, why are there monophasic and biphasic defibrillators? In a monophasic shock, current passes through the patient in one direction during the shock. In a biphasic shock, current first passes in one direction and then reverses direction for the second phase of the same shock. Modern biphasic defibrillators commonly use electronically controlled circuits to produce their waveforms, so their internal designs may differ from the classic inductor-based circuit in older textbooks.