What should be done in case of an implanted defibrillator or pacemaker when applying AED pads?

When using an Automated External Defibrillator (AED) on a patient with an implanted defibrillator or pacemaker, it is important to identify the device and avoid placing the pads directly over it. This approach is vital for several reasons.

Implanted devices such as pacemakers or defibrillators are designed to monitor and manage the heart's rhythm. Applying AED pads over these devices could potentially interfere with their function or cause damage to both the device and the surrounding tissue. By placing the pads away from the implanted device, you mitigate the risk of delivering shocks that could be ineffective or harmful.

Additionally, the AED needs to be able to detect the heart's rhythm accurately to deliver the appropriate shocks. If the pads are incorrectly positioned over the device, it may not read the rhythm effectively, which could delay critical treatment. Proper pad placement is crucial in ensuring the AED functions as intended during a cardiac emergency.

Techniques for optimal pad placement typically involve placing one pad on the upper right chest and the other on the lower left side of the chest, avoiding the area directly over the implanted device. This ensures both the safety of the patient and the effectiveness of the defibrillation process, should it be necessary.