Answer: Great question. While the standard procedure is to apply monitor electrodes to a patient that is not VSA, and this would not be incorrect, given the relative frequency with which a patient who was recently VSA re-arrests, the preference of the SWORBHP Medical Directors would be to have you apply defib pads in this scenario. We realize that there is a cost issue with this, and this may be service dependent, however VSA patients are not that frequent overall compared to other types of calls so the cost should be minimal. Balancing this cost is the fact that timely defibrillation as you know is an essential component to survival. Having defib pads already applied in a high risk re-arrest situation would be prudent.