Where should AED pads be placed relative to an implanted defibrillator/device?

Where should AED pads be placed relative to an implanted defibrillator/device?

• A. At least some distance away from the device
• B. Directly over the device
• C. On the back only
• D. On the legs only

Answer: (A)

The important idea is to avoid placing AED pads directly over an implanted defibrillator or pacemaker. Shocking over the device can interfere with its function, cause burns, or alter the device’s sensing and therapy timing. To keep the device safe and still deliver an effective shock, place the pads so the electrical current travels through the heart without passing through the device. If the implanted device is under the left collarbone, position the pads away from that area—typically one pad on the right upper chest and the other on the left chest but away from the device, or switch to an anterior-posterior arrangement if needed. The key is maintaining a clear path for the shock while not overlapping the device.

The important idea is to avoid placing AED pads directly over an implanted defibrillator or pacemaker. Shocking over the device can interfere with its function, cause burns, or alter the device’s sensing and therapy timing. To keep the device safe and still deliver an effective shock, place the pads so the electrical current travels through the heart without passing through the device. If the implanted device is under the left collarbone, position the pads away from that area—typically one pad on the right upper chest and the other on the left chest but away from the device, or switch to an anterior-posterior arrangement if needed. The key is maintaining a clear path for the shock while not overlapping the device.