Does this site have any connection
with any AED manufacturer?
No. We do not
sell AEDs. Our goal is to educate people about AEDs. This site receives
no funding or sales commission from any AED company.
Can
I buy an AED from you?
No. We do not sell AEDs. Companies that sell AED can be found in the links
page.
What
is ventricular fibrillation?
Ventricular fibrillation
is the fatal rhythm that causes sudden cardiac arrest. The heart instantly
goes from a normal heart rhythm to a chaotic rhythm called ventricular
fibrillation. When the heart goes into VF, the pulse and blood pressure
is instantly lost and the person loses consciousness in a few seconds.
The only effective treatment is an electric shock across the chest and
through the heart. A shock, if delivered in time, can convert the fatal
rhythm of VF back to a normal heart rhythm. An AED is a device that automatically
analyses the heart’s rhythm and can deliver a shock if VF is present.
What
is the relation of CPR to AED?
CPR cannot
convert VF into a normal rhythm (only an electric shock can do this) but
CPR can circulate a small trickle of oxygenated blood to vital organ and
thus slow the dying process until an AED arrives. Thus CPR buys time until
the AED arrives to deliver a shock.
How
soon must I attach an AED to a person in cardiac arrest?
The sooner the better. The chances of a successful defibrillation using
an AED falls by about 7% to 10% with each passing minute.
Why
do I call 911 before attaching the AED?
Clearly
if there are two witnessed to the cardiac arrest, one should call 911
while the other retrieves and attaches the AED. If there is only one rescuer,
that person should call 911 in order to get EMS personnel responding to
the scene. It is worth the extra minute to get help on the way. The emergency
operator can also remind you how to use the device and even coach you
through CPR if you forgot. Even if you are successful with the AED, EMS
personnel will have to administer medications (to prevent a relapse into
VF) and administer oxygen or even place a breathing tube down the person’s
windpipe.
How
do I get my doctor to prescribe an AED?
Only
people at risk of sudden cardiac arrest need an AED. You should discuss
your risk with your physician and together decide if your risk is high
enough to justify the cost of an AED. One manufacturer is authorized to sell an AED without a prescription but the other manufacturers require a prescription. The manufacturers that require a prescription can help facilitate your obtaining a prescription if you do not have one from your physician.
Will
my medical insurance cover the cost of an AED?
Probably not. If your have a very specific risk of sudden cardiac arrest
and it can be supported by your physician, your medical insurance company
may cover the cost.
Can
I purchase an AED over the counter?
One manufacturer is authorized to see its AED over the counter. All the others require that you obtain a prescription. The manufacturers that require prescriptions can assist you in obtaining one.
When
I attach the pads to the person in cardiac arrest, how
long does it take for the AED to work?
The devices vary somewhat
but in general once the pads are attached, the device takes 5-10 seconds
to analyze the heart’s rhythm and another few seconds to charge
itself up.
If
I use an AED do Good Samaritan laws cover me?
Yes, so long as you use it properly.
What
is the cost of an AED?
Currently AEDs sell
for $1200 to $3000.
How
long do batteries last?
It varies by device
but in general batteries last 4-5 years.
How
long are the pads good for?
It varies by
device but in general they are good for 2-3 years.
Who
invented the first AED?
The first AED was
invented by a Portland, Oregon surgeon, Arch Diack around 1980.
What
if the AED doesn’t give a shock?
Not every cardiac arrest is caused by VF. Approximately one third of the
time the heart will not be in VF and therefore the AED will not deliver
a shock. In this case it will advise the rescuer to check the patient
and begin CPR.
What
happens if I am touching the person when the AED shocks?
Probably nothing. You may feel a slight tingle. Try to not touch the person
when the shock is delivered. If you should have latex gloves available, this should also protect you even if you are touching the patients chest at the moment of shock.
What
if the victim is wet or lying on a wet surface?
Try to dry the chest with a towel before applying the pads. Defibrillation is most safely performed on a dry surface. The risks to rescuers and bystanders associated with defibrillating on a wet surface have to be balanced against the risk to the patient of delaying defibrillation. If the patient cannot be safely and quickly moved to a dry surface, as far as possible all bystanders should move off the wet surface. Anyone that must be on the wet surface should avoid direct contact with the patient, and should avoid contact between their body - particularly above their waist - and the wet surface, as far as possible. Wearing latex gloves will also reduce the likelihood of the rescuer being shocked in the event the rescuer is touching the patient at the moment of defibrillation.
What
if the chest is hairy and the pads won’t stick to the skin?
You might keep a disposable shaver with the AED just for this purpose.
Can
the AED accidentally shock someone who doesn’t need a shock?
Not likely. The AED is designed to only shock VF. It will not shock any
other heart rhythm. Nevertheless, AEDs are not perfect and in 1% of cases
it may shock a rhythm other than VF. That’s why it should only be
attached to a person who is unconscious and has collapsed.
What
if the victim has a pacemaker?
Ignore the presence of the pacemaker.
What
if the victim has an implanted defibrillator?
The AED is not needed for someone who has an implanted defibrillator.
However, if the implanted defibrillator is not firing, you can consider
attaching an AED (it is possible the implanted defibrillator is not working
properly). The AED will not harm the implanted defibrillator.
What
do I do if the AED works and the victim starts to wake up?
That’s great. Unless the person tries to sit up, place the victim
on his or her side so saliva can drain out without blocking the airway.
How
do I know if the shock was delivered?
Some
devices say “shock delivered” but you will also know because
you will see the chest’s muscular twitch in response to the electric
shock.
Do
I have to place the pads in the exact spot shown in the diagram?
As close as possible. When the pads are in the incorrect location the
shock is less effective.
What
if the woman has a bra on?
Lift the bra up
over the breasts and let it bunch up around the neck, then attach the
pads.
Will
an AED save everyone in cardiac arrest?
No.
Many factors such as whether the collapse was witnessed, the heart’s
rhythm, and the underlying condition of the victim determine whether the
victim lives or dies.