Cardiac pads are typically placed on a patient's chest and back to deliver electrical energy, for example, during defibrillation or cardioversion. While specific protocols may vary, a common and effective placement method is the anterior-posterior (AP) configuration.
Key Placement Locations
According to guidelines, for AP pad positioning, 1 electrode is placed over the left precordium and the other just below the right or left scapula.
Here's a breakdown of these locations:
- Anterior Pad (Front): This pad goes over the left precordium. The precordium is the area of the chest directly over the heart. Placing the pad here targets the electrical current effectively.
- Posterior Pad (Back): This pad is placed on the patient's back, specifically just below the right or left scapula (shoulder blade). Positioning the pad here, opposite the front pad, allows the electrical current to pass through the heart.
Why Correct Placement Matters
It's important to note that proper pad placement is a critical skill. As highlighted in the reference, pad placement is a skill that is not always correctly performed. Accurate placement ensures the electrical current passes through the heart effectively, maximizing the chance of a successful outcome.
Summary of AP Pad Placement:
| Pad Location | Area on Patient |
|---|---|
| Anterior | Left precordium (chest area over the heart) |
| Posterior | Just below the right or left scapula (on the back) |
Always follow specific training protocols and guidelines provided by the device manufacturer and your certifying organization.
