FYI, the source of current in a hospital's or paramedic's defibrillator is a handful of C-cell batteries, if you opened one of the removable battery packs, last one I saw.
In cardiac resuscitations using external defibrillators, the maximum voltage dispensed is 400 joules; 1 joule=1 watt.
Having to travel through skin layers, and underlying tissue, including muscle, to reach the heart muscle, takes some energy. If the heart was laid-bare, as-in having the chest cavity open, the amount of energy delivered to the heart to start it beating once-again is much-less than when the chest is intact.
Also, the direction of the current applied is important. Years-ago, the current was transmitted in the USA primarily in one direction (uniphasic) while now the standard is to have it go in two directions, think, "a round-trip." That's "biphasic."
Concerning the use of a cardiac monitor, capable of delivering synchronized (Cardioversion) or unsynchronized (Defibrillation) levels of energy:
All those movies and hospital TV shows with the doctors using the paddles, the standard now is to use lubricated pads in-place of the paddles. This is safer for the team and often allows better results for the patient.
The defibrillator fires when the button is pushed. The machine in cardioversion mode will sense the underlying cardiac rhythm and will delay the delivery of energy level selected until the correct time in the cardiac energy delivery cycle, which is vitally-important to the success of the delivered shock allowing the heart to start to beat rhythmically once-again. What it's doing is wiping-out the heart's erratic electrical activity which isn't allowing the coordinated flow of blood through the heart, and allowing the correct electrical pathway for energy to travel properly through the heart muscle, resulting in effective cardiac output (pumping action) again.
The Automated External Defibrillator (AED) can sense if there is an electrical rhythm present, but it cannot determine if the heart is producing cardiac output, which is why the AED will inform the user: "Check for pulse." A condition where there is a good rhythm but no cardiac pumping output is called "Pulseless Electrical Activity," (PEA) and is where the hospital or paramedics would be doing chest compressions.
Once the heart goes 'straightline,' (Asystole) there is no shocking to be done. You have to have some type of cardiac electrical activity to work-with. In Asystole, there is none.
The use of external pacemakers is sometimes necessary to get the heart pumping effectively again, and if the patient is conscious, yes, this is very uncomfortable, and the patient is likely to be sedated. Modern EKG defibrillator/cardioversion machines have integral pacemakers. A typical level of delivered energy to keep the heart beating with an effective pumping action while using an external pacemaker is probably in the 70-110 joule range, assuming an adult patient.
I would rather be subjected to volts than amps.
When Thomas Edison was trying to convince the country to use DC instead of Nikolai Tesla's discovery of AC, he would electrocute farm animals with AC to show "how-dangerous" it was.