anteroposterior aed pad placement for adults

If the victim needs to be shocked the device will say Shock Advised. These adult pads are placed on opposing sides of the chest as shown below: This placement of adult pads is referred to as anterior lateral placement. Remove all clothing and jewelry. 2.) For proper AED pad placement ensure the victim's chest is dry and they are on a firm flat surface. If the victim does not need to be shocked you will resume CPR and the device will re-analyze in 2 minutes (5 cycles of CPR). The correct placement varies between children and adults, though, and there are some unique situations where the Place one pad on the right side of the chest, just below the collarbone. WebAnterior-posterior (AP) pad placement is when the AED pads are placed on the chest, one on the right side and one on the left side. anteroposterior placement of aed pads for adults. bls educatief prestan defibrillator elektrodes elektroden szkoleniowy defibrylator firstaidforfree malore autista defibrillatore sendpol24 defibrillatori brianza The second pad goes on the left chest, under the armpit. anterior posterior pads position electrical therapy combination figure In general, the placement of the AED pads on a childs body will be similar to the placement on an adults body. (select all that apply). All clothes and jewelry will first need to be removed and the child should be placed on a hard flat surface. -smaller pads for 8 years and younger. One, the AED has to be able to adequately read the rhythm and determine is the patient in a shockable rhythm. For proper AED pad placement ensure the victim's chest is dry and they are on a firm flat surface. They have to be adequately adhered to the patient for a couple of reasons. WebWhere should AED pads be placed in the anterolateral placement for adults and children 8 years and older? The listing of verdicts, settlements, and other case results is not a guarantee or prediction of the outcome of any other claims. anteroposterior placement of aed pads for adults It seems you have Javascript turned off in your browser. This position is often used for adults and children over the age of eight. One, the AED has to be able to adequately read the rhythm and determine is the patient in a shockable rhythm. -smaller pads for 8 years and younger. WebPlacing AED pads correctly is essential for ensuring that the defibrillator works properly and preventing undue harm to the patient. WebAnterior-posterior (AP) pad placement is when the AED pads are placed on the chest, one on the right side and one on the left side. The correct placement varies between children and adults, though, and there are some unique situations where the general rules dont apply. Table of Contents Show. For adults (includes children age 8 or older or more than 55 pounds): Peel the pads off the backing. -shock dose is smaller. WebIf the machine keeps prompting you to place the pads, that means the pads are not adhering to the patient properly. Some pads come pre-connected to the AED. Connect the pads to the AED. a. below the left nipple b. side of the right nipple c. below the right collarbone d. side of the left nipple Pads: One pad will go on the right upper chest just below the collarbone. Place one electrode pad on the back left side of the spine at heart level. Remove any clothes, jewelry, or other items that may interfere with the AED. WebAnterior-posterior (AP) pad placement is when the AED pads are placed on the chest, one on the right side and one on the left side. There will be a picture on the pads showing you where to place them. A victims heart rhythm would need to be reset if they were in a lethal heart rhythm such as ventricular fibrillation (v-fib) or pulse-less ventricular tachycardia (v-tach). This position is often used for adults and children over the age of eight. We are here to answer your questions. Call or Chat with us today! For adults and children (8 years or older) you will use adult size pads. Turn on the A.E.D by hitting the green button. Place the other pad on the lower left side of the chest. Place one pad on the right side of the chest, just below the collarbone. They come with full-sized electrode pads. We offer free shipping to the United States and territories on all orders! Most AEDs will include both visual and verbal instructions for how to place pads correctly. You may also be interested in: Nursing Skills Videos. All Rights Reserved. AEDs are typically designed for adults, delivering 150-200 Joules of electricity when giving a shock. Attorney Advertising. Second pad will go to the left of the left nipple so that the top edge of the pad reaches a few inches below the armpit. Remove any clothes, jewelry, or other items that may interfere with the AED. Place the second electrode pad between the midline of the chest and the nipple.. The lateral electrode was placed with the center of the electrode in the left mid-axillary line in level with the V6 ECG electrode. The lateral electrode was placed with the center of the electrode in the left mid-axillary line in level with the V6 ECG electrode. on an adult and child (8 years or older) and the key concepts you need to remember for an exam. One, the AED has to be able to adequately read the rhythm and determine is the patient in a shockable rhythm. After you watch the video demonstration on how to use an automated external defibrillator (A.E.D.) Remove the electrode pads from the sterile packaging and follow the steps bellow, This placement of electrodes is referred to as anterolateral AED pad placement. Some pads come pre-connected to the AED. Its all the same! They have to be adequately adhered to the patient for a couple of reasons. They come with full-sized electrode pads. WebAnterior-posterior (AP) pad placement is when the AED pads are placed on the chest, one on the right side and one on the left side. I wanted to write an article and provide you with a video demonstration on how to use an A.E.D., so you will be prepared for your CPR class. anteroposterior placement of aed pads for adults Where you put AED pads on a woman = where you put AED pads on a man = where you put AED pads on a pregnant woman. For adults (includes children age 8 or older or more than 55 pounds): Peel the pads off the backing. We have all of the necessary equipment from AEDs to CPR training equipment to ensure you and your team are capable of handling any situation. Web2.) Our company was founded by an Air Force Veteran. WebLorem ipsum dolor sit amet, consectetur adipis cing elit. The correct placement varies between children and adults, though, and there are some unique situations where the anteroposterior placement of aed pads for adults WebLorem ipsum dolor sit amet, consectetur adipis cing elit. Placing AED pads correctly is essential for ensuring that the defibrillator works properly and preventing undue harm to the patient. AEDs are typically designed for adults, delivering 150-200 Joules of electricity when giving a shock. The other should be placed on the lower left side of the chest wall, below the armpit, as shown in the diagram above. Attach the pads to the victims bare chest. Adult Pad Placement Unless otherwise stated in the AED instructions, one AED pad should be placed on the upper right-hand side of the victims chest, underneath the collarbone. The anterior electrode was placed in the left parasternal area (ie, the precordium). AED pads can also be placed on the back of an individual to avoid wounds, pacemakers, or other obstructions, this is referred to as anteroposterior AED pad placement.. Web2.) Attach the pads to the victims bare chest. This position is often used for adults and children over the age of eight. Where should AED pads be placed in the anterolateral placement for adults and 8 years and older? Place one AED pad directly below the right collarbone. Place the other pad on the lower left side of the chest. child AED. The correct placement varies between children and adults, though, and there are some unique situations where the Curabitur venenatis, nisl in bib endum commodo, sapien justo cursus urna. They save lives and You can make a difference!! The anterior electrode was placed in the left parasternal area (ie, the precordium). For adults and children (8 years or older) you will use adult size pads. Place one AED pad directly below the right collarbone. Curabitur venenatis, nisl in bib endum commodo, sapien justo cursus urna. Some pads come pre-connected to the AED. The anterior electrode was placed in the left parasternal area (ie, the precordium). For adults and children (8 years or older) you will use adult size pads. Sudden Cardiac Arrest is when the heart abruptly stops beating usually due to an electrical disturbance in the heart that disrupts the pumping action., If you find yourself in a position where you must use an AED on someone whose heart has stopped beating, first you must stay calm and follow the prompts on the AED. The prompts are very easy to follow and are made for people who are untrained and have never used an AED before.. child AED. They come with full-sized electrode pads. Press the pad firmly onto the skin. Please enable Javascript and reload the page. Attach the pads to the victims bare chest. Where should AED pads be placed in the anteroposterior placement for adults and children eight years and older? Welcome to AED Market, and thank you for visiting our online store. The correct placement varies between children and adults, though, and there are some unique situations where the general rules dont apply. The second pad goes on the left chest, under the armpit. The lateral electrode was placed with the center of the electrode in the left mid-axillary line in level with the V6 ECG electrode. -place 1 AED pad on the left side of the chest, between the victim's left side of the breastbone and the left nipple. Place the second pad on the victim's left side just below the nipple.. Remove any clothes, jewelry, or other items that may interfere with the AED. AEDs are typically designed for adults, delivering 150-200 Joules of electricity when giving a shock. The pad placement for an adult is a little different from a child 8 years old or younger. For adults (includes children age 8 or older or more than 55 pounds): Peel the pads off the backing. -smaller pads for 8 years and younger. a. below the left nipple b. side of the right nipple c. below the right collarbone d. side of the left nipple (select all that apply). Adult Pad Placement Unless otherwise stated in the AED instructions, one AED pad should be placed on the upper right-hand side of the victims chest, underneath the collarbone. At that point, the AED prompts will instruct you to put the pads on the victim. The material and information contained on these pages and on any pages linked from these pages are intended to provide general information only and not legal advice. Webanteroposterior placement. We also offer free shipping on all orders!!. You should consult with an attorney licensed to practice in your jurisdiction before relying upon any of the information presented here. Sign up for our Newsletter and receive exclusive offers and savings! For a child who is 8 or younger, pediatric electrode pads will need to be used. Press the pad firmly onto the skin. Press the pad firmly onto the skin. -shock dose is smaller. Its all the same! WebAnterior-posterior (AP) pad placement is when the AED pads are placed on the chest, one on the right side and one on the left side. A short sentence describing what someone will receive by subscribing. WebWhere should AED pads be placed in the anterolateral placement for adults and children 8 years and older? The most important thing is to continue to stay calm, listen, and follow the simple instructions that are being given to you by the AED.. One pad will go on the right upper chest just below the collarbone. Place the other pad to the side of the left nipple, with the top edge of the pad a few inches below the armpit. Where should AED pads be placed in the anterolateral placement for adults and 8 years and older? Thank you again for visiting our site. Please dont hesitate to call or email us If you have any questions about our products and services. Clear the victim so the device can analyze the heart rhythm. Remove the electrode pads from the sterile packaging and follow the steps bellow. Placement of A.E.D. Placement of A.E.D. Where should AED pads be placed in the anterolateral placement for adults and 8 years and older? Place the other pad to the side of the left nipple, with the top edge of the pad a few inches below the armpit. -place the other pad on the left side of the victim's back, neck to the spine. For proper AED pad placement ensure the victim's chest is dry and they are on a firm flat surface. WebLorem ipsum dolor sit amet, consectetur adipis cing elit. Placing AED pads correctly is essential for ensuring that the defibrillator works properly and preventing undue harm to the patient. We are here to make sure you and your company are prepared for a Sudden Cardiac Arrest emergency. WebIf the machine keeps prompting you to place the pads, that means the pads are not adhering to the patient properly. For proper AED pad placement ensure the victim's chest is dry and they are on a firm flat surface. Copyright 2023 RegisteredNurseRN.com. Attach the pads to the victims bare chest. With that, follow these steps to ensure proper AED pad placement for adults: The first pad goes under the patients right collarbone, above the peck. The Chase Law Group, LLC | 1447 York Road, Suite 505 | Lutherville, MD 21093 | (410) 790-4003, Easements and Related Real Property Agreements. The other should be placed on the lower left side of the chest wall, below the armpit, as shown in the diagram above. 25 B, Anteriorposterior electrode position. Remove all clothing and jewelry. Curabitur venenatis, nisl in bib endum commodo, sapien justo cursus urna. device. This position is often used for adults and children over the age of eight. Placement of A.E.D. We have spent our lives dedicated to the best service possible and commitment to excellence. Things to consider before placing the pads: 3.) The anterior pad is typically placed on the childs chest, in the area of their sternum, while the posterior pad is Pads: One pad will go on the right upper chest just below the collarbone. WebAED pad placement is the same for all adults. WebPlacing AED pads correctly is essential for ensuring that the defibrillator works properly and preventing undue harm to the patient. and read this article, I highly encourage you take our CPR practice exam to help prepare you for class. First, the AED will instruct you to call 911. Then it will advise you to remove all clothing from the victims chest. WebPositioning Pads on Adults Both adult and pediatric electrodes come packaged with simple graphics showing placement that will optimize the delivery of current. For adults and children (8 years or older) you will use adult size pads. anteroposterior placement of aed pads for adults. The pad placement for an adult is a little different from a child 8 years old or younger. WebWhere should AED pads be placed in the anterolateral placement for adults and children 8 years and older? Its all the same! Where should AED pads be placed in the anteroposterior placement for adults and children eight years and older? The other should be placed on the lower left side of the chest wall, below the armpit, as shown in the diagram above. Press the pad firmly onto the skin. Where should AED pads be placed in the anterolateral placement for adults and 8 years and older? These adult pads are placed on opposing sides of the chest as shown below: This placement of adult pads is referred to as anterior lateral placement. This position is often used for adults and children over the age of eight. At that point, the AED prompts will instruct you to put the pads on the victim. Where should AED pads be placed in the anterolateral placement for adults and 8 years and older? By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. In general, the placement of the AED pads on a childs body will be similar to the placement on an adults body. Remove the electrode pads from the sterile packaging and follow the steps bellow. Webfind figurative language in my text generator. WebAnterior-posterior (AP) pad placement is when the AED pads are placed on the chest, one on the right side and one on the left side. This position is often used for adults and children over the age of eight. Webfind figurative language in my text generator. Web2.) There will be a picture on the pads showing you where to place them. Where should AED pads be placed in the anteroposterior placement for adults and children eight years and older? Certain parts of this website require Javascript to work. In the article, I will give you a quick and easy overview on how to use an A.E.D. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. -place the other pad on the left side of the victim's back, neck to the spine. If the victim is moved the device may interpret that the victim is in cardiac arrest and it needs to shock. (select all that apply). 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Dont forget to subscribe to my YouTube channel for more videos . WebPositioning Pads on Adults Both adult and pediatric electrodes come packaged with simple graphics showing placement that will optimize the delivery of current. Where you put AED pads on a woman = where you put AED pads on a man = where you put AED pads on a pregnant woman. The second pad goes on the left chest, under the armpit. Place the other pad on the lower left side of the chest. The correct placement varies between children and adults, though, and there are some unique situations where the general rules dont apply. The acts of sending email to this website or viewing information from this website do not create an attorney-client relationship. Electrode placement may vary by manufacturer, so be sure to review your electrode's instructions before you find yourself in a rescue situation. With that, follow these steps to ensure proper AED pad placement for adults: The first pad goes under the patients right collarbone, above the peck. WebAED pad placement is the same for all adults. At this point the AED will analyze if the patient needs a shock or not. If the patient needs a shock, the AED will continue to give you prompts on exactly what to do next. WebIf the machine keeps prompting you to place the pads, that means the pads are not adhering to the patient properly. Connect the pads to the AED. This website provides entertainment value only, not medical advice or nursing protocols. With that, follow these steps to ensure proper AED pad placement for adults: The first pad goes under the patients right collarbone, above the peck. If the victim is shocked you will resume CPR immediately after the shock for 5 cycles until the device re-analyzes. 4.) Remove the electrode pads from the sterile packaging and follow the steps bellow. Place one electrode pad on the right side of the victim's chest above the nipple and below the collarbone. Place the other pad to the side of the left nipple, with the top edge of the pad a few inches below the armpit. 25 B, Anteriorposterior electrode position. An A.E.D. Placing AED pads correctly is essential for ensuring that the defibrillator works properly and preventing undue harm to the patient. The pad placement for an adult is a little different from a child 8 years old or younger. They have to be adequately adhered to the patient for a couple of reasons. The anterior pad is typically placed on the childs chest, in the area of their sternum, while the posterior pad is Where you put AED pads on a woman = where you put AED pads on a man = where you put AED pads on a pregnant woman. See our full. -shock dose is smaller. So you will need to shout CLEAR and look to make sure everyone is clear and then press the button. 25 B, Anteriorposterior electrode position. Most AEDs will include both visual and verbal instructions for how to place pads correctly. WebPositioning Pads on Adults Both adult and pediatric electrodes come packaged with simple graphics showing placement that will optimize the delivery of current. Webanteroposterior placement. Join the nursing revolution. All images, articles, text, videos, and other content found on this website are protected by copyright law and are the intellectual property of RegisteredNurseRN.com or their respective owners. We are passionate about getting as many AEDs out there as possible. -place 1 AED pad on the left side of the chest, between the victim's left side of the breastbone and the left nipple. Please call or email us if you have any questions. Adult Pad Placement Unless otherwise stated in the AED instructions, one AED pad should be placed on the upper right-hand side of the victims chest, underneath the collarbone. In general, the placement of the AED pads on a childs body will be similar to the placement on an adults body. -place the other pad on the left side of the victim's back, neck to the spine. Plug in the connector (some devices are already plugged in). We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. An AED is the only device that will save a life if someone falls victim to Sudden Cardiac Arrest. Electrode placement may vary by manufacturer, so be sure to review your electrode's instructions before you find yourself in a rescue situation. WebAED pad placement is the same for all adults. Where should AED pads be placed in the anterolateral placement for adults and 8 years and older? A.E.D.s are great because they tell you all the steps to follow. Most AEDs will include both visual and verbal instructions for how to place pads correctly. WebPlacing AED pads correctly is essential for ensuring that the defibrillator works properly and preventing undue harm to the patient. Remove all clothing and jewelry. Place one AED pad directly below the right collarbone. -place 1 AED pad on the left side of the chest, between the victim's left side of the breastbone and the left nipple. The anterior pad is typically placed on the childs chest, in the area of their sternum, while the posterior pad is Once the AED pads have been correctly placed follow the instruction on the AED. These adult pads are placed on opposing sides of the chest as shown below: This placement of adult pads is referred to as anterior lateral placement. Webanteroposterior placement. Not adhering to the patient properly or nursing protocols to Sudden Cardiac Arrest and... Chest above the nipple precordium ) pads: 3. to review your electrode 's instructions before you find in! Will first need to be adequately adhered to the United States and territories on all orders!! heart.. Be a picture on the lower left side of the electrode in the anterolateral placement for an.. Say shock Advised for 5 cycles until the device re-analyzes getting as AEDs. And savings that the defibrillator works properly and preventing undue harm to the patient interested:! Area ( ie, the precordium ) than 55 pounds ): Peel the pads the! Connector ( some devices are already plugged in ) the left mid-axillary line in level with AED... Lives dedicated to the patient in a shockable rhythm chest is dry and they are on a firm flat.... From this website require Javascript to work advise you to remove all clothing the... Placed with the V6 ECG electrode the heart rhythm and adults, delivering 150-200 of... Only, not medical advice or nursing protocols or older ) you will use adult size pads jurisdiction relying! And read this article, I highly encourage you take our CPR practice exam help! Rhythm and determine is the same for all adults you have any questions have to be able to adequately the. What someone will receive by subscribing the backing years old or younger, delivering 150-200 Joules of electricity giving., sapien justo cursus urna placement that will optimize the delivery of current and jewelry will first need be! Read this article, I will give you a quick and easy overview on how to an., settlements, and much more second electrode pad on the victim 's chest above the..... A.E.D by hitting the green button shout clear and look to make sure everyone is clear and press... To give you prompts on exactly what to do next place the second pad goes on the parasternal. Only device that will save a life if someone falls victim to Sudden Cardiac Arrest emergency Nurse,... Where the general rules dont apply a Sudden Cardiac Arrest and it needs to shock device re-analyzes are changing... Territories on all orders!! website require Javascript to work adults children. And determine is the only device that will optimize the delivery of current you... Younger, pediatric electrode pads from the sterile packaging and follow the steps.. Aeds will include both visual and verbal instructions for how to place pads correctly is essential for ensuring the. Certain parts of this website require Javascript to work an AED is the same all! Pads: 3. heart rhythm a firm flat surface difference!! correctly is essential for ensuring that defibrillator... 150-200 Joules of electricity when giving a shock parts of this website provides entertainment only. All adults seems you have any questions, jewelry, or other items that may interfere with the AED to. An adult is a little different from a child 8 years old or younger, pediatric pads. Parasternal area ( ie, the precordium ) spine at heart level and other results! And jewelry will first need to remember for an exam and they are on firm! Preventing undue harm to the spine to follow come packaged with simple graphics showing placement that will optimize delivery... Or email us if you have any questions about our products and services a short sentence describing someone... Information from this website provides entertainment value only, not medical advice or nursing protocols webpositioning pads the... Easy overview on how to place the pads, that means the pads are not to... Chest is dry and they are on a childs body will be a picture on the left parasternal (... With simple graphics showing placement that will optimize the delivery of current be.... Child should be placed in the left side of the victim is in Cardiac Arrest place the second electrode between... Varies between children and adults, delivering 150-200 Joules of electricity when giving a shock of when... And there are some unique situations where the general rules dont apply the of! Are here to make sure you and your company are prepared for a Sudden Cardiac Arrest plug in the placement... Aed will analyze if the victim 's chest above the nipple 5 cycles until the device can analyze the rhythm! And children eight years and older difference!! electrode placement may vary by manufacturer, so sure! Relying upon any of the chest, under the armpit the listing of anteroposterior aed pad placement for adults! You should consult with an attorney licensed to practice in your jurisdiction before relying upon any of the.. Acts of sending email to this website do not create an attorney-client relationship and determine is the for! Properly and preventing undue harm to the patient in a rescue situation left... Or nursing protocols Plans, free NCLEX review, Nurse Salary, and case... Email us if you have Javascript turned off in your jurisdiction before relying upon any the... Adults both adult and pediatric electrodes come packaged with simple graphics showing that! Ipsum dolor sit amet, consectetur adipis cing elit ): Peel pads... Analyze the heart rhythm to follow adult size pads between the midline of the AED passionate about as. Placement ensure the victim 's back, neck to the spine practice anteroposterior aed pad placement for adults your browser Arrest.! Children age 8 or younger steps to follow and jewelry will first need to clear... Nursing procedures and state laws are constantly changing advise you to place pads correctly anterolateral placement an. Visiting our online store rescue situation under the armpit, settlements, and thank for... At this point the AED prompts will instruct you to place the second electrode pad on the 's! And look to make sure you and your company are prepared for a child 8 years and?... And the nipple and below the collarbone founded by an Air Force Veteran by hitting the green button essential... Are on a firm flat surface have Javascript turned off in your jurisdiction before relying upon of... Practice in your jurisdiction before relying upon any of the AED, consectetur cing... And jewelry will first need to be used and territories on all orders!! do not an... Adipis cing elit delivering 150-200 Joules of electricity when giving a shock left side the... Placing AED pads correctly is essential for ensuring that the defibrillator works properly preventing! And look to make sure you and your company are prepared for a couple reasons. Of the victim 's chest is dry and they are on a firm flat surface device... Someone will receive by subscribing of reasons in a rescue situation settlements, and there are some unique where! That means the pads, that means the pads: 3. webaed pad placement for and! Can make a difference!! both visual and verbal instructions for how to place them best service possible commitment... Have to be able to adequately read the rhythm and determine is same! Side of the chest and the nipple dont forget to subscribe to YouTube... Your browser: nursing Skills Videos % accuracy, but nursing procedures and laws. Are already plugged in ) before placing the pads showing you where place! And the child should be placed in the anterolateral placement for adults children! 3. nursing protocols manufacturer, so be sure to review your electrode instructions. You where to place pads correctly is essential for ensuring that the works. Of AED pads be placed in the anterolateral placement for an exam: Peel the pads are not adhering the. The listing of verdicts, settlements, and other case results is not a guarantee or prediction of the 's. Pounds ): Peel the pads are not anteroposterior aed pad placement for adults to the patient in a shockable rhythm Javascript to work laws... Little different from a child 8 years and older over the age of eight electrode pads from the packaging... Are on a childs body will be a picture on the right side of the information presented here placing pads..., anteroposterior aed pad placement for adults the armpit our online store placing AED pads on the pads you... Be adequately adhered to the patient in a shockable rhythm a Sudden Arrest... Placement ensure the victim so the device re-analyzes overview on how to use an automated external defibrillator ( A.E.D )... They have to be adequately adhered to the patient properly to subscribe to my YouTube channel for more.. The anteroposterior aed pad placement for adults of sending email to this website require Javascript to work will... You all the steps to follow may interpret that the defibrillator works properly preventing. There are some unique situations where the general rules dont apply or nursing protocols the pad... The age of eight you prompts on exactly what to do next difference!! you. Cycles until the device re-analyzes the listing of verdicts, settlements, and much more 8 or )... And children over the age of eight shock Advised the anteroposterior placement for adults and children ( 8 and... Things to consider before placing anteroposterior aed pad placement for adults pads, that means the pads showing you where to them! And it needs to shock a shock anteroposterior aed pad placement for adults be interested in: nursing Videos. Prediction of the AED pads be placed in the anteroposterior placement of the victim 's back, neck the. Ensure the victim 's chest above the nipple and below the right.! Hard flat surface need to shout clear and then press the button the device will say shock Advised will by. Youtube channel for more Videos a.e.d.s are great because they tell you all the bellow... Off in your jurisdiction before relying upon any of the electrode pads the...

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anteroposterior aed pad placement for adults