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Key points regarding the use of Automatic External Defibrillators (AED) in infants and children

Key points regarding the use of Automatic External Defibrillators (AED) in infants and children
• VF is the initial rhythm in 9 to 19 percent of children experiencing out-of-hospital cardiac arrests.
• Survival with VF is better than survival with asystole.
• Defibrillation is indicated for the treatment of VF and pulseless VT.
• AEDs are computerized machines that automatically diagnose VF and use voice prompts to instruct rescuers to defibrillate, if appropriate.
• AEDs have demonstrated both high sensitivity in detecting VF and high specificity in identifying nonshockale rhythms in children.
• For infants and children with VF or pulseless VT, shock delivery may be accomplished by the following devices (in order of preference):
  1. Manual defibrillator (when used by a trained provider)
  2. AED with a dose attenutation device
  3. AED without a dose attenuation device
• For in-hospital defibrillation, there are no data comparing manual defibrillators with AEDs or clear guidelines specifying the use of one over the other.
• AEDs cannot be used for cardioversion.
VF: ventricular fibrillation; VT: ventricular tachycardia.
Graphic 74523 Version 5.0

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