AED Infants & Children

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Most public places in key cities are likely to have an Automated External Defibrillator (AED) somewhere. Easy to use and highly sophisticated, the AED allows even people who have never used one before to provide life-saving interventions. Though it may be simple to operate, it is still crucial to ensure that proper AED procedure is performed in stressful situations.

Take Note

Criteria for AED Use:

  • Child or infant is unresponsive after shaking and shouting
  • No breathing detected; if any, it is agonal breathing
  • No carotid artery pulse detectable

AED Steps for Children and Infants

  1. Secure an AED (Figure 10a).
    • a. Retrieve it from its case.
    • b. Turn on the device.
  2. Keep the baby’s chest exposed (Figure 10b).
    • a. Dry it if necessary.
    • b. Peel off existing medication patches, if any.
  3. Assemble the pediatric AED pads (Figure 10c).
    • a. Peel off the back cover.
    • b. Check the infant’s body for pacemaker or defibrillator.
  4. Place the pads onto the infant (Figure 10d).
    • a. Place one pad on the upper right chest above the breast or on the infant’s upper left chest.
    • b. Place the second pad on the lower left chest below the armpit or on the infant’s back.
BLS AED Children Infants
BLS AED Children Infants - Remove Clothing
BLS AED Children Infants - Pads
BLS AED Children Infants - Place Pads

Figure 10

Take Note
  • Continue performing CPR if the AED is not functioning. Do not waste time fixing the AED, as CPR is more important; AEDs are supplemental.
  • Do not use AED in and near bodies of water.
PALS AED Children Infants - Connect
PALS AED Children Infants - Clear area
PALS AED Children Infants - Compressions

Figure 10

AED Steps for Children and Infants, Continued

  1. Make sure wires are properly attached to the AED (Figure 10e).
  2. Keep your distance from the infant (Figure 10f).
    • a. Stop CPR operations.
    • b. Warn others not to touch the infant.
  3. Allow the AED to analyze the rhythm of the infant’s heart.
  4. If the AED reads “Check Electrodes”, proceed by following these steps:
    • a. Make sure the electrodes are in contact with each other.
    • b. Step back and allow the AED to analyze the heart rhythm again.
  5. If the AED reads “Shock,” hold the flashing shock button until the shock is released.
  6. For two minutes, execute CPR (Figure 10g).
  7. Repeat cycle.

2010 AHA GUIDELINES FOR DEFIBRILLATION

Initial dose should be 2 to 4 J/kg (4 J/kg for refractory VF). Ideal energy levels are yet to be determined.

2010 AHA GUIDELINES FOR AED USE

AED with a pediatric dose to attenuator system should be used whenever available with patients one to eight years old. Manual defibrillation is preferred for infants under a year old. A standard adult AED may be used if neither alternative setting is available.

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