An energy adjusting circuit for use with a defibrillator. The energy
adjusting circuit reduces the defibrillation pulse energy that would
otherwise be applied to the patient by the defibrillator. The energy
adjusting circuit can be part of the defibrillator itself, or part of an
adapter coupled to the output ports of a conventional defibrillator. In an
adapter designed for pediatric defibrillation, the adapter may include
paddles configured for use on babies and small children. The energy
adjusting circuit may be formed entirely from passive components and may
include a divider circuit with two resistors. The resistance of the two
resistors is selected so as to absorb a predetermined percentage of the
defibrillation pulse energy that would otherwise be applied to the
patient. An isolation circuit may be further included to assist with the
measurement of ECG signals through the electrodes. The components of the
energy adjusting circuit can be selected so as to produce a defibrillation
waveform that has a desired pulse width and tilt, both of which are
approximately fixed over an expected range of patient impedances. The
defibrillator may be configured to recognize the presence of the energy
adjusting circuit, and to indicate to the user that the energy selection
ranges have been adjusted accordingly.