Board of Legal SpecializationPractice Exam

What is the correct action when delivering CPR to a 9-year-old patient with an AED?

1. Apply adult AED pads immediately

2. Perform CPR without the AED

3. Set up the AED and immediately apply pediatric AED pads

4. Wait for a second provider before using the AED

The correct answer is: Set up the AED and immediately apply pediatric AED pads

Using pediatric AED pads on a 9-year-old patient is the appropriate action because these pads are specifically designed to deliver a safer and more effective shock to children. Pediatric pads have a lower joule output, which is crucial for minimizing the risk of injury to a child's smaller body compared to adult pads. In the context of CPR and defibrillation, immediate action is vital, especially in an emergency situation. By setting up the AED and applying the pediatric pads, you ensure that the child receives the appropriate level of care tailored for their age and size, thereby increasing the chance of a successful outcome. Pediatric pads also usually come with clear instructions or illustrations to help guide the rescuer through the process, promoting efficient use of the device. Applying adult AED pads could potentially lead to serious injury due to the higher energy discharge they deliver. While it may be tempting to begin CPR without the AED, introducing defibrillation as soon as possible after CPR initiation is critical in cases of cardiac arrest, especially in children. Additionally, waiting for a second provider before using the AED is not practical in a real-life emergency, where every second counts. Hence, immediate use of the AED with pediatric pads aligns with best practices in pediatric emergency care.