The American Heart Association estimates that 1700 lives are saved each year in America through the use of AEDs, but many aren't trained properly in how to use AEDs.

Automated External Defibrillators (AEDs) are lifesaving devices designed to help restore a normal heart rhythm during a cardiac emergency, such as sudden cardiac arrest (SCA). They are user-friendly, even for those without medical training, but their effective and safe use requires understanding specific considerations.

By being aware of these special considerations when using an AED, you can maximize the chances of saving a life while minimizing risks. So let's get started with some safe AED operation tips.

Understanding the Basics of an AED

An Automated External Defibrillator (AED) analyzes the heart's rhythm and delivers an electric shock if necessary to correct life-threatening arrhythmias like ventricular fibrillation or pulseless ventricular tachycardia. These devices are typically found in public places like airports, schools, and gyms, and are designed to provide clear, step-by-step instructions to the user.

Unfortunately, many people aren't aware that AEDs are available in their vicinity or how to find them.

While AEDs are straightforward, their use in emergencies comes with important safety considerations to protect both the victim and the rescuer.

Ensure Proper Training and Familiarity

Although AEDs are intuitive, having proper training can significantly enhance their effectiveness. Many organizations offer CPR and AED training programs that cover:

• Recognizing cardiac arrest
• Performing high-quality CPR alongside AED use
• Understanding AED prompts and troubleshooting common issues

While formal training isn't mandatory to use an AED, it builds confidence and helps users act quickly in emergencies.

Assess the Scene for Safety

Before using an AED, ensure the environment is safe for both the victim and the rescuer.

Tap water is a conductor of electricity (pure water is actually the opposite). If the victim is in a wet area, move them to a dry surface before applying the AED.

Ensure no one is in contact with the victim during the shock delivery to prevent accidental electrocution

Taking a moment to check for safety can prevent further harm while allowing the AED to function properly.

Position the Pads Correctly

AEDs come with adhesive pads that must be placed on the victim's chest to deliver the shock effectively. Misplacement of pads can reduce the device's efficacy or cause harm.

• Standard Placement: One pad should be placed on the upper right chest, and the other on the lower left chest, just below the armpit
• Adjust for Anatomical Differences: For individuals with large breasts or excessive body hair, reposition or shave the area as needed to ensure proper pad adhesion

Use pediatric pads if available, for children and infants, as they are designed for smaller bodies. If pediatric pads are unavailable, standard pads can be used, but they must not overlap.

Beware of Implanted Medical Devices

Many individuals with pre-existing health conditions have implanted devices such as pacemakers or defibrillators. These devices can interfere with AED pad placement.

• Look for a visible lump or scar, usually on the upper chest
• Avoid placing pads directly over the device to prevent damage to the implant or interference with the shock
• Place the pad slightly to the side of the implant if necessary

Remove Metal and Obstructions

Metal objects and clothing can hinder the AED's effectiveness or pose risks during shock delivery. Here are the steps to follow.

• Remove necklaces, underwire bras, or other metal objects near the chest area
• Cut away or remove clothing to expose the chest and allow direct contact with the skin
• Ensure that no medical patches (e.g., nitroglycerin or nicotine patches) are in the way, as these can block electrical conductivity

Consider Skin Conditions and Conductivity

Certain skin conditions, such as excessive sweat or body oils, can affect the AED pads' adhesion.

Use a cloth or gauze to ensure the chest is free from moisture before applying the pads. If the victim has a very hairy chest, the pads may not stick properly. Use the razor included in many AED kits to shave the area where the pads will be placed.

Follow AED Prompts Exactly

AEDs are equipped with voice prompts and visual cues to guide users through the process. Listening and responding to these defibrillator usage guidelines is crucial:

Do Not Touch the Victim: When the AED analyzes the heart rhythm or delivers a shock, ensure no one is in physical contact with the victim

Perform CPR When Prompted: Most AEDs will instruct you to resume chest compressions if a shock isn't advised. Continue CPR until the AED reanalyzes or emergency personnel arrive

Ignoring these prompts can compromise the effectiveness of the device or cause harm.

Avoid Distractions and Stay Focused

During a cardiac emergency, bystanders may gather, and the scene can become chaotic. Stay focused on the task at hand.

• Assign roles to bystanders, such as calling emergency services, fetching the AED, or managing the crowd
• Block out noise and distractions to ensure you can hear and follow the AED's instructions clearly

Staying calm and composed is key to effective intervention.

Maintain AED Readiness

Regular maintenance is crucial to ensure an AED is ready for use during an emergency.

• Battery Checks: Ensure the AED's battery is charged and functional
• Pad Expiration Dates: Replace pads before they expire, as outdated pads may not adhere properly
• Visual Inspections: Check the device for damage, missing parts, or error indicators

Routine maintenance ensures the AED will work reliably when needed.

Always Call Emergency Services

An AED is a critical first-response tool but not a replacement for professional medical care. After initiating the use of an AED:

• Call 911 or instruct someone nearby to do so
• Inform responders about the actions you've taken and the victim's condition

Emergency medical teams will continue advanced care and ensure the victim's recovery is managed effectively.

Be Aware Of Special Considerations When Using an AED

When it comes to an emergency, there's no time to think straight. That's why getting proper training and understanding special considerations when using an AED will ensure you don't make mistakes during crunch time.

If your organization is searching for AED supplies, Live Action Safety is the leading supplier of EMS and EMT medical supplies nationwide. 99% of our products are sales tax free and we offer free shipping over $175.

Check out our AED and defibrillators here.