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Solutions to Automated External Defibrillator Challenges

The AED electrode pads should not be placed over the area of the implanted device. The pacemaker will be a firm lump the size of a small cell phone under the skin of the chest or abdomen. The AED electrode pad cannot penetrate  through the implanted device to deliver the  shock if required, so adjusting the placement  of the pad is all that is necessary.

The AED delivers a shock of electricity  that can be carried by water and will then not adequately penetrate the heart.

  • Remove the patient from water
  • Wipe the chest dry
  • The AED can be used near moisture

The AED electrode pads must be in contact with the surface of the skin to deliver a shock. First, press firmly on the pads to provide skin contact. If that doesn’t work, remove the pads, which will remove substantial chest hair. If the problem remains, shave the chest area with a razor.

If the AED electrode pads are placed over a transdermal patch, the shock will be blocked and a small burn may occur to the patient’s skin. Transdermal patches should be removed prior to pad placement if the pad would be in contact with the patch.