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Attach the electrode pads to the person's (who has sustained cardiac arrest) bare chest according to the position shown on the AED or on the pads. If more than one rescuer is present, continue CPR whilst the pads are being attached.
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The priority must always be for high-quality CPR and getting...
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As soon as the AED arrives, or if one is already available...
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In patients with an implantable device, place the pad > 8 cm away from the device, or use an alternative pad position. Also consider an alternate pad position when the patient is in the prone position (bi-axillary), or in a refractory shockable rhythm (see below).
Electrodes for automated external defibrillators and manual defibrillators require specific placement for the best patient outcomes. This guide explains proper pad placement and other important considerations to keep in mind when defibrillating adult and pediatric SCA victims.
The placement of the AED pads on the child’s body is similar to the placement of the adult’s body. The anterior pad should be placed on the child’s chest, in the area of their sternum, while the posterior pad should be placed on their back, in the area of their spine. However, keep in mind that the specific placement of the pads will vary ...
Past experience of the number of cardiac arrests in a certain area, as well as the neighbourhood characteristics, may help guide AED placement. Registration of public access AEDs allows dispatchers to direct CPR providers to a nearby AED and may help to optimise response.
Paddles or pads are placed on the exposed chest in an anterior-lateral position or an anterior-posterior position. In patients with an ICD or a permanent pacemaker the defibrillator pad/paddle is placed on the chest wall ideally at least 8 cm from the generator position.
Start CPR and send for an AED as soon as possible. If trained and able, combine chest compressions and rescue breaths, otherwise provide compression-only CPR. If an AED arrives, switch it on and follow the instructions. Minimise interruptions to CPR when attaching the AED pads to the victim.
