High electrical currents are necessary to heat up metals, not voltage.
Defibrillators provide short bursts of high voltages with moderate current (less than 20 amps). Even if a metallic piercing happened to be in between the shock paddle and flesh, such current for such a short time is not likely to affect the metal.
Depends on which electric paddles you’re talking about, and where they use them. Generally speaking metal will heat up when a current passes through it due to electrical resistance. If a device has low power (voltage*current), then it will probably be okay in terms of hurting the patient. I can’t think of any really high voltage medical devices that pass the current directly through a patient. Defibrillator voltage is usually a few hundred volts but idk what the current is. When I did my emergency first aid training I was told don’t worry about piercings, just give them treatment. This kind of makes sense, if defibrillators do actually cause enough resistive heating that it would make piercings heat up enough to burn (which… idk, seems like that would do more damage to flesh than a conductive metal) then worst case scenario is… a small burn. Plus the paddles don’t usually go on the nipples or earlobes or bellybutton, so probably not a massive issue, as current would only flow through the piercings if the paddles were in contact with them.
Piercings don’t pose a significant electrocution threat during medical procedures, so long as the source of the electrocution does not come into direct contact with the metal itself, and many quality piercings are made of “non-conductive” (less conductive) material like titanium or surgical steel.
If the source of electrocution does come into contact with the metal there is some risk of a minor burn around the site of the piercing, but it would be a fairly minor burn.
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