Unique Situations When Using an AED

Author: Marcy Burnham

In a cardiac emergency, every second is crucial in providing a positive outcome for the victim.  Feeling confident in using an AED and performing CPR are essential.  Though you may have received excellent instruction during your AED/CPR class, there are still some variables to consider in real-life situations.  In a classroom setting, the environment and situations are controlled.  In the field, there may be some unique challenges you face. Below are some situations that can potentially arise when resuscitating someone in the field:

  • Hairy chest- excessive hair may prevent the electrode pad from adhering correctly. An adequately stocked response kit containing a razor can be used to shave the hair.  
  • Pediatric patients- smaller victims require a reduced electrical shock, use pediatric pads when available.  When using adult pads on a child, place one pad in the center of the victim’s chest, and the other in the center of the back.
  • Transdermal medications (patches)- medication patches can burn a victim if a shock is provided over the patch.  Don gloves to remove the patch and clean off any residue before applying pads.
  • Implantable devices- pacemakers or defibrillators can block the shock or damage the device during an AED use.  Avoid placing electrodes over these areas if you see a suspicious scar or a lump in the chest.
  • Submerged or wet patients- it is critical to deliver a shock directly to the heart.  Water may reduce the effectiveness of the shock.  It is recommended to move the victim away from the water and place him on a dry surface, drying off the chest area before applying the pads.

AED’s are designed to be user- friendly, while offering voice prompts and instructions throughout the emergency.  Providing confident, effective care in the midst of unique challenges could be the difference in life or death for the victim.  Hopefully these tips will help you identify and feel better prepared to use an AED.

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I have an AED – what do I need to know?

co-authored by Marcy Burnham, RN – AED365 Leader, and Brady B. McLaughlin, MS, NREMT – CEO and AED Expert

This question is more common than you may think.  Whether you just purchased an AED or have been an AED owner for years, many people have questions about AEDs, or automated external defibrillators.

AEDs are vital to saving lives in the event of Sudden Cardiac Arrest, or SCA.  Along with having an AED readily available, other elements of emergency response are necessary to complete each link of the Chain of Survival:
  • Early recognition and activation of emergency response (9-1-1)
  • High-quality CPR (hands-on)
  • Rapid defibrillation (AED)
  • Advanced care and transportation (EMS transport via ambulance)
  • Coordinated definitive care (hospital and cardiac ICU) 
  • Recovery
To strengthen the Chain, key initiatives include:
  • CPR AED training
  • AED inspections and checks
  • AED maintenance
  • EMS agency registration (if required)
  • Medical direction (if required)
AED ownership, adequate training, and a properly maintained AED all work hand in hand to save lives. 

Make sure your AED is easily accessible and ADA-complaint with the cabinet mounted no higher than 48 inches above the floor.

Ensure the AED is easily identifiable with AED signage.

Make sure you meet all applicable local, state, and federal laws for your AED and facility.
 
AED365 has proven to be an easy, efficient way to ensure your AED is compliant and ready to rescue.  Our sole focus is keeping your AED program alive.  With over 30 powerful features, AED365 is designed with the end-user in mind, making the inspection process easy to accomplish in less than 60 seconds.  Using an AED to save lives isn’t hard; managing your AED program shouldn’t be either.