BLS Certification Manual: AED Special Circumstances
- 1. Introduction
- 2. Recognizing Cardiac Arrest
- 3. Positioning & Pulse Check
- 4. Compressions for Adults
- 5. Compressions for Infants & Children
- 6. Ventilation Equipment
- 7. Ventilations for Adults
- 8. Ventilations for Infants & Children
- 9. AED Usage
- 10. AED Special Circumstances
- 11. Choking
- 12. Choking Procedures for Adults & Children
- 13. Choking Procedures for Infants
- 14. Team Roles
- 15. Effective Team Dynamics
- 16. Common Mistakes
- 17. Conclusion
- MyCPR Now™ Glossary
AED Special Circumstances
Certain situations require minor adjustments to AED pad placement or preparation. Do not unnecessarily delay defibrillation.
Wet Chest
If the chest is wet, quickly dry the areas where the pads will be placed. Move the person away from standing water when it can be done safely.
Excessive Chest Hair
If chest hair prevents the pads from adhering:
- Quickly remove enough hair for pad contact when equipment is available, or
- Follow the device-specific instructions
Do not delay if the pads adhere adequately.
Medication Patches
Do not place an AED pad directly over a medication patch.
If the patch interferes with pad placement:
- Wear gloves when practical
- Remove the patch
- Wipe the area
- Apply the AED pad
Implanted Pacemaker or Defibrillator
An implanted device may appear as a small lump beneath the skin. Do not place an AED pad directly over the device. Move the pad slightly away while preserving appropriate pad placement.
Pregnancy
Use standard adult CPR and AED procedures for a pregnant person in cardiac arrest. Do not delay defibrillation because of pregnancy.
Jewelry
Routine jewelry does not normally need to be removed. Avoid placing a pad directly over bulky metal jewelry or any object that prevents adequate skin contact.
Pediatric Patients
Use pediatric pads when available. If adult pads are necessary, position them so they do not touch.
Clear Before Analysis and Shock
No one should touch the person during AED rhythm analysis or shock delivery. Clearly communicate that everyone must remain clear.