Generally, you do not need to completely remove a bra to use an AED, but you might need to adjust it.
Here's a breakdown:
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Underwire Bras: The primary concern is interference from underwire bras with the AED pad placement.
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Pad Placement: The AED pads need to be placed directly on the skin. Specifically, one pad should be placed on the upper right chest and the other on the left mid-axillary line (ribcage, slightly below the armpit).
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Adjusting vs. Removing: The video reference states that if the bra is in the way of pad placement, you should move the breast tissue out of the way so the pad can be applied to the left mid-axillary ribcage. Complete removal is not always necessary. However, if the bra significantly obstructs pad placement, quick removal by cutting or tearing it may be required.
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Speed is Key: During a cardiac arrest, time is critical. Don't waste valuable seconds struggling unnecessarily. Make a quick assessment and choose the most efficient method to apply the AED pads properly.
