BLS Certification Manual: AED Special Circumstances

WHEN TO ALTER AED APPLICATION

Victim Has a Hairy Chest

If a victim has chest hair, check the AED for a razor or second set of pads. It is important to ensure proper contact with the patient's chest for effective AED use. If a razor is available, shave the areas of the chest to allow the pads to stick. If no razor is present, but a second set of pads are, take the first set of pads and place them onto the victim. Then forcibly remove the pads, ripping the hair from the chest. Now the second pads can be used without interference.

Victim is in Water

If a victim is in water, remove him/her from the water and quickly dry him/her before using an AED. It is crucial to contact emergency medical services immediately in such situations. Because water is a good conductor of electricity, the victim needs to be as dry as possible before an AED is used.

Victim has an Implanted Device (Defibrillator, Pacemaker, etc.)

If a victim has an implanted device like a defibrillator or pacemaker, note the AED device and avoid placing the pads over the implanted devices. Ensure the pads are placed in a way that does not interfere with the implanted device.

Victim has a Transdermal Medication Patch

If the victim has transdermal medication patches, remove the patch and wipe away as much of the medication as possible before applying the AED pads. Be aware of the potential hazards of using an AED on a patient with medication patches, such as the risk of burns.

Performing chest compressions immediately after providing an AED shock to a victim of cardiac arrest is crucial. Acting fast and continuing CPR with chest compressions can increase the patient's chance of survival, especially if the person is still not breathing or doesn’t have a pulse after the AED shock.

Knowing how to use an automated external defibrillator in emergency situations is vital. Special considerations for sudden cardiac arrest, such as using pediatric pads, understanding AED special considerations, and taking immediate action after providing an AED shock, can significantly impact the outcome.

SPECIAL CONSIDERATIONS FOR INFANTS AND CHILDREN

Special AEDs and/or AED pads are made for infants and children under the age of 8, known as pediatric patients. It is important to use child electrode pads for pediatric patients to ensure appropriate electrical shocks and proper contact with the skin. Do not use an adult AED and/or adult AED pads on a young child or infant; instead, use child pads. If pediatric pads are not available, adult pads can be used with proper placement.