A visitor has coded in the hospital cafeteria, and several nurses witnessed the code. What is the proper procedure for initiating use of the automatic external defibrillator (AED)?
a. Provide 5 cycles of cardiopulmonary re-suscitation (CPR) before shocking.
b. Place AED pads and shock as soon as possible.
c. Insert an oropharyngeal airway before shocking.
d. Place one AED pad on the upper left ster-nal border and one pad on the lower right side below the nipple and axilla.
B
Since the arrest was witnessed, the AED pads should be applied and shock delivered as soon as advised. If the response time is greater than 4 to 5 minutes and the arrest was not witnessed, five cycles of CPR are performed before shock is delivered. An oropharyngeal airway would not be immediately available in the cafeteria, and this would delay resuscitation. One AED pad is placed on the upper right sternal border, and the other pad on the lower left side below the nipple and axilla.
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