Defibrillator Pad Placement: A Comprehensive Guide

Defibrillator pad placement is critical to the effectiveness of defibrillation and ensuring the best chance of survival during cardiac arrest. Proper pad positioning allows the electrical current to pass through the heart, restoring normal rhythm. Typically, the two recommended positions are anterolateral and anteroposterior.

In the anterolateral position, one pad is placed on the right upper chest, just below the collarbone, while the other is placed on the left side of the chest, below the armpit. This configuration allows the current to pass through the heart in the shortest, most direct route.

The anteroposterior position involves placing one pad on the center of the chest, just below the left breast, and the other pad on the back, between the shoulder blades. This method is often used when front placement is challenging or when there are special considerations, such as pacemakers or implanted devices.

It's crucial to follow the defibrillator manufacturer's instructions for proper pad placement. Pads should always be applied to clean, dry skin and positioned as indicated on the pads themselves. Correct placement can significantly improve the chances of a successful shock and patient recovery.