How to Apply AED Pads

Bystanders can give sudden cardiac arrest (SCA) victims the best chance of survival by calling 911 and providing early CPR and AED use. Even though AEDs are a lifesaving device, they’re designed to be simple and user-friendly with visual images showing how to apply the AED pads and auditory cues for when a shock is necessary.
Although CPR can help supply oxygen to the brain and other vital organs, it usually can’t restore a normal heart rhythm on its own – making early AED use a critical step in surviving sudden cardiac arrest. In fact, the chance of survival decreases 7-10% every minute that passes without an AED shock. It’s most effective when given in the first three minutes of cardiac arrest.
Fortunately, businesses and communities are becoming more aware of the importance of having access to an AED during an emergency. They can now be found in large public spaces, like airports, stadiums and schools – which means more lives can be saved. If you’re called into action, it’s important to know how to apply AED pads correctly for adults, children and infants.
AED pad placement 101
The AED will provide visual and auditory cues to help direct bystanders. This means that anyone can use an AED, even without formal training.
The basic steps of using an AED are as follows:
- Turn on the AED.
- Apply AED pads.
- Follow the AED prompts.
- Clear the victim and shock.
- Resume compressions and continue to follow prompts.
But how do you apply the AED pads? This will depend on the age and size of the victim.
Adult AED pads
Use adult AED pads for persons 8 years of age or older.
- Peel the pads off the backing and place according to the pictures on the pads.
- Place one pad on the right side of the chest, just below the collarbone.
- Place the other pad on the lower left side of the chest.
- Connect the pads to the AED. Some pads come pre-connected to the AED.
Always apply AED pads to bare skin. Expose the chest by opening or cutting the shirt (and bra if applicable) before applying the pads.
If the chest is wet, wipe it dry. If the chest is hairy, use a razor or an extra set of AED pads to remove hair from the pad placement area.
AED pad placement for children and infants
Children require a lower level of energy to defibrillate the heart. Some AEDs may include pediatric pads or equipment that are designed for children and infants.
In terms of using an AED, a child is someone who is younger than 8 years of age.
Follow these AED use guides for children and infants:
- Use child pads and equipment if available. If not available, use adult pads.
- Do not cut or fold AED pads. Do not let AED pads overlap.
- Place each pad according to the pictures on the pads. Some pediatric pads require front-and-back positions, while others require a left-right position.
If you don't know the child's age, look for signs of puberty (e.g. facial hair, breast development, etc.) If a child is showing signs of puberty, use adult pads.
AEDs save lives
Here’s a brief AED pad placement summary:
Action |
Adult |
Child |
Infant |
AED |
Use as soon as available |
||
AED Age |
Age 8 & older |
1-8 years old |
< 1 year old |
AED Pads |
Adult pads |
Pediatric pads; if none, use adult pads |
Contact your local Training Center to learn about AED use and get certified in CPR, AED and First Aid.
Need an AED for your business? Contact your HSI representative or find an AED in our online store.
And be sure to check out How to Position Your Hands for CPR to learn correct CPR hand placement.