Pediatric Basic Life Support(BLS) AED (Automated External Defibrillator)

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AED (Automated external defibrillator

  • AED is a device that is useful in as it delivers shock and does not require the bystander or lay rescuer to recognize different types of heart rhythm.
  • If you want to be trained in AED access this website by REDCROSS https://www.redcross.org/take-a-class/aed
  • If a manual defibrillator is not available an AED automated external defibrillator is used.
  • A study published by Ecker R et al[1] concluded that older bystanders previously trained in AED are successfully able to deliver shock for ventricular fibrillation with dispatcher assistance.
  • 2 minutes compression and ventilation cycle should be done before using the AED.
  • If there are 2 bystanders send one person to get the AED and one person should start CPR immediately.
  • A study by Dianne L.Atkinsa et all[2] found the AED used in children less than 8 years of age is able to find both shockable rhythm with high sensitivity and high specificity.

Steps to use AED[3]

  • Follow the AED Prompt.
  • Stop CPR when the AED is analyzing the rhythm and giving a shock.
  • Resume compressions immediately after giving shock and minimize interruptions during compressions.
  • Place the right pad of the AED on right below the clavicle.
  • Place the left pad of the AED on the left chest lateral to the left breast.
  • Other positions - Left pad is placed at the apex 5th Intercoastal space and the right pad placed on the left upper back.
  • Keep the one-inch distance between the pads and the implantable device.
  • Don't put the pads on a transdermal patch as it can burn the skin where the patch is placed.
  1. Ecker R, Rea TD, Meischke H, Schaeffer SM, Kudenchuk P, Eisenberg MS (2001). "Dispatcher assistance and automated external defibrillator performance among elders". Acad Emerg Med. 8 (10): 968–73. doi:10.1111/j.1553-2712.2001.tb01096.x. PMID 11581083.
  2. Atkins DL, Scott WA, Blaufox AD, Law IH, Dick M, Geheb F; et al. (2008). "Sensitivity and specificity of an automated external defibrillator algorithm designed for pediatric patients". Resuscitation. 76 (2): 168–74. doi:10.1016/j.resuscitation.2007.06.032. PMID 17765384.
  3. Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R; et al. (2010). "Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 122 (18 Suppl 3): S640–56. doi:10.1161/CIRCULATIONAHA.110.970889. PMID 20956217.