CPR 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. Common Mistakes
- 12. Conclusion
- MyCPR Now™ Glossary
AED Special Circumstances
AEDs can be used in many situations, but certain circumstances may require minor adjustments before pads are applied. Always follow the AED's instructions.
Wet Chest
If the person's chest is wet, quickly dry the areas where the pads will be placed so the pads can adhere properly. Move the person away from standing water when it can be done safely. Do not unnecessarily delay AED use.
Excessive Chest Hair
If excessive chest hair prevents an AED pad from adhering to the skin, quickly remove enough hair from the pad-placement area to allow proper contact. Some AED kits contain a razor for this purpose. Do not delay defibrillation if the pads can adhere adequately.
Medication Patches
Do not place an AED pad directly over a medication patch.
If a patch is located where a pad must be placed:
- Wear gloves when practical
- Remove the patch
- Wipe the area
- Apply the AED pad to bare skin
Implanted Devices
A visible or palpable lump under the skin may indicate an implanted pacemaker or defibrillator. Do not place an AED pad directly over an implanted device. Position the pad a short distance away while maintaining the recommended pad configuration.
Jewelry and Piercings
Routine jewelry does not need to be removed simply because an AED is being used. Do not place an AED pad directly over bulky metal jewelry or an object that prevents proper pad contact.
Pregnancy
An AED may be used on a pregnant person in cardiac arrest. Do not delay CPR or AED use because of pregnancy. Use standard adult CPR and AED procedures.
Children and Infants
Use pediatric AED pads or a pediatric setting when available and appropriate. If they are not available, use adult pads without allowing the pads to touch each other. Follow the diagrams and prompts provided by the AED.
Safety During Analysis and Shock
No one should touch the person while the AED is analyzing the rhythm or delivering a shock. Clearly state "Clear" and visually confirm that everyone is away from the person before a shock is delivered.