A ground loop forms when two devices connected to the same patient have different chassis ground potentials (ΔV ≠ 0). The patient's body becomes part of the return current path between the two grounds.
Macroshock: Current via skin. VF threshold ≈ 100 mA. Perceptible at 1 mA.
Microshock: Current directly to heart (catheter). VF possible at 10–50 μA — undetectable by the patient!
With a cardiac catheter (R≈50Ω), just 0.5 mV ground difference induces 10 μA — enough for ventricular fibrillation. Saline IV lines provide a low-resistance path even without a catheter.
• Use isolated power systems (IT) in ORs & ICUs
• All devices on the same outlet bus
• Equipotential bonding buses
• Avoid non-medical extension cords
• Regular ground continuity testing