Board of Legal SpecializationPractice Exam

A patient has a pacemaker. Which condition is necessary before using an AED?

1. The AED pads must be placed directly on the device

2. The AED should be used if the patient is conscious

3. The AED pads must not be placed directly over the device

4. The patient must be on a soft surface

The correct answer is: The AED pads must not be placed directly over the device

When using an Automated External Defibrillator (AED) on a patient with a pacemaker, it is crucial to avoid placing the AED pads directly over the pacemaker device. This is because the AED delivers electric shocks that can potentially interfere with the functioning of the pacemaker. Placing the pads directly over the pacemaker may not only prevent the AED from delivering an effective shock but can also pose a risk of damaging the pacemaker itself. For proper placement of the AED pads, they should be positioned at least a few inches away from the pacemaker to ensure that the shocks can safely and effectively reach the heart. This practice aligns with the protocols established for defibrillation procedures, emphasizing safety measures for patients with implanted cardiac devices. The other options do not consider the necessary precautions for safely using an AED with a pacemaker. For example, placing the pads directly on the device or assuming the AED can be used on a conscious patient without regard to the pacemaker could jeopardize the patient's safety or the efficacy of the device.