What precautions should be taken when using an AED on a person with a pacemaker?

When using an AED on a person with a pacemaker, it is important to recognize that the presence of a pacemaker does not contraindicate the use of the AED. However, the placement of the AED pads is crucial for the safety and effectiveness of the shock. The correct practice is to avoid placing the AED pads directly over the pacemaker device. This precaution helps ensure that the electrical shock is delivered effectively to the heart and minimizes the risk of any interference with the pacemaker's function.

The pads should instead be positioned in a manner that allows for maximum conductivity to the heart while staying clear of the pacemaker. This approach maintains the integrity of the pacemaker and reduces the likelihood of causing any damage or malfunction. Keeping the pads away from the pacemaker is essential in emergency situations, as it ensures that both the AED and the pacemaker can operate without complications.

In contrast, placing the AED pads directly over the pacemaker could lead to ineffective defibrillation and potential harm to the individual. The suggestion that the AED cannot be used, or that only pediatric pads should be utilized, is not accurate, as the AED can and should be used appropriately, just with the mentioned considerations regarding pad placement.