We bring forth paramedic defibrillator (cu-er5) to the customers. Paramedic defibrillator (cu-er5) has the capabilities of the paramedic cu-er3 plus the capability to be operated in manual mode with shocks delivered through external paddles. Paramedic defibrillator (cu-er5) is intended for first responders who want more capability options and for hospital users who demand high portability.