Where should AED pads be placed in the anteroposterior placement for adults?

Place one AED pad directly below the right collarbone. Place the other pad to the side of the left nipple, with the top edge of the pad a few inches below the armpit. As shown in Figure 26B, one pad will be placed on the victim’s bare chest (anterior), and the other will be placed on the victim’s back (posterior).

Can AED pads be placed on clothes?

An AED, which applies an electric shock to a patient suffering cardiac arrest, requires direct contact between the pads and the skin. Any clothing which is in the way must be removed.

Where do you place the AED pads on someone who has a pacemaker or ICD?

When it comes to using an automated external defibrillator (AED), the pads are usually placed on the upper right side of the chest and on the side of the rib cage under the left arm, so a pacemaker or ICD shouldn’t get in the way.

Why should you not use an AED on a patient with a pacemaker?

Most likely, if the person with the pacemaker has suffered a cardiac arrest, their pacemaker is already not working. The concerns are that the Automatic External Defibrillator will interfere with the pacemaker and that the heart will not be able to resume its normal function.

What is the life expectancy of someone with an ICD?

Living with a Pacemaker or Implantable Cardioverter Defibrillator ICD. Pacemakers and ICDs generally last 5 to 7 years or longer, depending on usage and the type of device. In most cases, you can lead a normal life with an ICD.

Should I have my ICD removed?

Turning off the ICD won’t cause death, and it won’t make you feel worse. But because the ICD won’t give you a shock if you have a life-threatening heart rhythm, this type of heart rhythm could lead to death. Some ICDs are combined with a pacemaker. You can turn off the ICD without turning off the pacemaker.

What can’t you do with a defibrillator?

For implantable defibrillators, the issue is not so simple. Some things are not recommended, like heavy weight lifting, because that could crack or damage a lead (an electrical connection from the device to the heart). Very extreme upper extremity motion over a long period of time could do the same thing.

What should I do if my ICD shocks me?

Call 911 or other emergency services right away if you feel bad or have symptoms like chest pain. Call your doctor soon if you feel fine right away after the shock. Your doctor may want to talk about the shock and schedule a follow-up visit.

Does an ICD shock damage the heart?

It is possible that ICD shocks are merely a marker of underlying disease progression, and not the cause of that progression. However, it is also plausible that ICD shocks cause direct myocardial damage leading to a reduction in heart function.

Is an ICD painful?

For more-serious heart rhythm problems, the ICD may deliver a higher-energy shock. This shock can be painful, possibly making you feel as if you’ve been kicked in the chest. The pain usually lasts only a second, and there shouldn’t be discomfort after the shock ends.

How much does an ICD cost?

Who Needs an ICD? Every month, about 10,000 Americans have an ICD implanted, according to the American Heart Association. The cost for an ICD implant alone is estimated at $30,000 to $50,000.

Are you awake during ICD surgery?

You will receive a sedative in your IV before the procedure to help you relax. However, you will likely remain awake during the procedure. The ICD insertion site will be cleansed with antiseptic soap. Sterile towels and a sheet will be placed around this area.

What are the side effects of a defibrillator?

Arteriovenous fistula (an abnormal connection between the artery and the vein)
Blood clots in the arteries or veins.
Injury to the lung, a collapsed lung, or bleeding in the lung cavities.
Developing a hole in the blood vessels.
Infection of the system.
Bleeding from the pocket.

What is the success rate of a defibrillator?

With no compressions, the 90% confidence of successful defibrillation is reached at 6 minutes and the median time limit for success is 9.5 minutes. However, with pre-shock chest compressions, the modeled data suggest a 90% success rate at 10 minutes and a 50% rate at 14 minutes.

Which is better pacemaker or defibrillator?

The pacemaker is the steady hand guiding your heart through each day, while the defibrillator is the guardian angel standing ready to keep you safe if your heartbeat becomes dangerously irregular. Whether you need a pacemaker, an ICD, or both, Oklahoma Heart Hospital is here to help.