In an external defibrillator for applying a multiphasic defibrillation pulse to a patient through first and second electrodes when said first and second electrodes are coupled to a patient, said external defibrillator including one or more energy storage devices having first and second leads and a charging system for charging said one or more energy storage devices, said external defibrillator also including one or more output circuits with output switches for switchably coupling the one or more energy storage devices to the first and second electrodes in order to conduct the energy stored in the one or more energy storage devices to a patient, said one or more output switches being coupled in a circuit path between the one or more energy storage devices and the first and second electrodes, said external defibrillator further comprising a control circuit coupled to said one or more output switches for controlling said one or more output switches, the control circuit switching said one or more output switches so as to generate a multiphasic defibrillation pulse for application to a patient, the improvement comprising:
- (i) the control circuit controlling said one or more output switches such that after the end of the first phase of a multiphasic defibrillation pulse, the second phase is begun by switching at least one of the one or more output switches such that the energy that is delivered to the patient is in a waveform that is non-sinusoidal;
- and
- (ii) forming said one or more output switches of components capable of delivering at least approximately 200 joules to the first and second electrodes for application to a patient.