Abstract: An emergency external defibrillator and pacing apparatus for applying electrical stimulation to a heart. The apparatus includes a tubular sleeve having an axial passage therethrough, which is insertable through an incision in a chest cavity to a predetermined depth proximate the heart. A first and second electrode is inserted through the axial passage of the sleeve to contact the surface of the heart. Means are provided for applying an electrical current of preset voltage and time interval to selectively stimulate heartbeat and control rhythm. The apparatus electrodes are inserted through an incision in a chest cavity which is held open by the tubular sleeve.