What should you do when using an AED on an infant or child younger than 8 years old?

Most AEDs come with both adult and pediatric pads designed to be used on children. Pediatric pads should be used on children under 8 years old or children who weigh less than 55 pounds. Adult pads can be used on children and people 8 years old or older or weigh more than 55 pounds. With that said, if child pads are unavailable standard adult pads can be used. Below are some guidelines on how to use adult pads on a child.

• Do not let the pads touch
• If possible, set the AED to a pediatric setting to produce a pediatric shock
o If there is no pediatric setting an adult shock can be used
• If the child is an infant, please use a manual defibrillator
o However, if there is no manual defibrillator and AED may be used

Pad placement is also crucial for the success of the AED in saving one’s life. The placement of the pads differs from adult to child. Below are how to place pads on each type of person, whether it be an adult or a child.

For Adults
o One pad should be placed on the right side of the chest, just below the collarbone
o The other should be placed on the lower left side of the chest
o Connect the pads to the AED and follow the instructions for use
o Be sure to place pads on bare skin

For Children
o Use child pads as available
o Do not cut or fold the pads and do not let the pads overlap each other
o Use a front-back placement for children and infants

What should you do when using an AED on an infant or child younger than 8 years old?

A common question on our First Aid courses across the North East is whether you can use a defibrillator/AED on a baby.

Shockable heart rhythms requiring defibrillation in children are more rare than in adults. However, they can occur. Therefore, the priority will always be to recognise the need for CPR, to provide high quality CPR and to get expert help – fast.

Most people are aware that an AED can be used on a child – in First Aid terms, that’s someone aged between one and eight years old. Ideally, paediatric/child pads should be used, which reduce the amount of energy to around 50-75 joules.

According to the Resuscitation Council (UK), although there is limited evidence of using defibrillators on infants/babies under the age of one, they recommend that it’s better to use an AED on a non-breathing infant/baby than not.

The Resuscitation Council (UK) suggest,  ‘If possible, use an AED with a paediatric attenuator in infants and children below 8 years (energy reduced to 50-75 J). If this is not available, use the standard AED (for all ages).’

Defibrillators come with spoken instructions and diagrams to guide users where to place the pads and how to deliver shocks. Pad placement is different on infants and children to placement on adults, so it’s important to follow the instructions or let us know if you’re unsure. After all, it’s much better to have a go in a training environment than try to do it for the first time during a real emergency.

It’s worth remembering that where a defibrillator is used within 4 minutes of cardiac arrest, a person has around a 70% chance of survival, whereas if one isn’t used, the chance of survival is reduced to around only 5%. Everyone gets to have a practice with an AED on all of our First Aid courses in Newcastle, Sunderland, Durham, Northumberland and beyond.

Thinking about getting an AED? Check out our Complete Buyers Guide to Automated External Defibrillators (AEDs). As always, if you have any questions, just get in touch.

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Please purchase the course before starting the lesson.

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.

  • 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).
    • Retrieve it from its case.
    • Turn on the device.
  2. Keep the baby’s chest exposed (Figure 10b).
    • Dry it if necessary.
    • Peel off existing medication patches, if any.
  3. Assemble the pediatric AED pads (Figure 10c).
    • Peel off the back cover.
    • Check the infant’s body for a pacemaker or defibrillator.
  4. Place the pads onto the infant (Figure 10d).
    • Place one pad on the upper right chest above the breast or on the infant’s upper left chest.
    • Place the second pad on the lower left chest below the armpit or on the infant’s back.
    • If pads will touch on the chest of an infant, apply one pad on the anterior chest and another pad on the posterior of the infant instead.

  • 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.

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).
    • Stop CPR operations.
    • 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:
    • Make sure the electrodes are in contact with each other.
    • 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.

Back to: Online Pediatric Advanced Life Support (PALS) Course > Resuscitation Tools

What should you do when using an AED on an infant or child younger than 8 years of age?

Pediatric pads should be used if the person is less than eight years old or less than 55 pounds (25 kg). Standard (adult) pads may be used if pediatric pads are not available. If using standard (adult) pads, do not let the pads touch. For infants less than a year old, a manual defibrillator should be used if available.

What should you do when using an AED on an infant or child younger than 8 years of age quizlet?

What should you do when using an AED on an infant of child less then 8 years of age? Use adult AED pad if the AED does not have child pads. If an manual defibrillator is not available for an infant victim which action should you take? Use an AED equipped with pediatric dose attenuator.

What is the correct AED pad placement for infants and children less than 8 years old?

instructions: Place one pad to the right of the sternum and below the right clavicle. Place the other on the left side of the chest on the mid-axillary line, a few inches below the left armpit. risk touching each other on the child's chest or the manufacturer recommends.

When using an AED on a child between the ages of 1 and 8 years Paediatric pads must be used?

The American Heart Association recommends that pediatric pads should be used on infants and children under the age of 12 years of age. Age-appropriate defibrillator pad placement for infants and children less than 12 years of age is specific to each AED manufacturer.