When an implanted defibrillator or pacemaker is present, what should you avoid when placing defibrillation pads?

When an implanted defibrillator or pacemaker is present, what should you avoid when placing defibrillation pads?

• A. Place a defibrillation pad directly over the device.
• B. Avoid placing the pad directly over the device.
• C. Remove the implanted device before applying pads.
• D. Apply pads only on the limbs.

Answer: (B)

When an implanted defibrillator or pacemaker is present, the goal is to deliver the shock through the chest without directing energy into the device. Placing a defibrillation pad directly over the implanted device can send the electrical current right into the device, which may cause malfunctions, inappropriate sensing or pacing, or even burns to the surrounding tissue. To avoid this, position the pads so the device is not in the path of the shock, keeping some distance from the implant. This helps ensure the energy travels through the chest as intended while protecting the device from interference. The device should not be removed, and pads do not need to be limited to the limbs.

When an implanted defibrillator or pacemaker is present, the goal is to deliver the shock through the chest without directing energy into the device. Placing a defibrillation pad directly over the implanted device can send the electrical current right into the device, which may cause malfunctions, inappropriate sensing or pacing, or even burns to the surrounding tissue. To avoid this, position the pads so the device is not in the path of the shock, keeping some distance from the implant. This helps ensure the energy travels through the chest as intended while protecting the device from interference. The device should not be removed, and pads do not need to be limited to the limbs.