ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Automated External Defibrillator - How to Choose and Use an AED

Updated on November 19, 2016
janderson99 profile image

John uses Biochemistry and Physiology (PhD) skills to review health topics, disease prevention, home remedies for ailments & better health

More and more enterprises and public agencies have installed an Automated External Defibrillator (AED) apparatus in their offices.

Many families are also considering buying and installing them in their own homes, when a family member or visitors, are at risk of cardiac arrest or fibrillation.

An AED is an electrical device with pads that can be positioned on the chest of a person suspected of having a cardiac arrest. It senses the heart's beat and rhythm during an episode of cardiac arrest and, if required the device sends an electric shock to the paddles to get the heart beat going again.

In an crisis, the ACD crucially makes all the correct decisions and responses for you, and this helps prevent incorrect usage when shocks are applied to normally beating hearts. This can be very dangerous and could itself makes things worse. The AED also produces step-by-step voice directions to help a user through the defibrillation process. It also provides ongoing monitoring of the heart beat once it has been re-established while you mau be waiting for the ambulance to arrive.

In summary, the information that accompanies the AED device provides an explanation of how somebody can test for crucial breathing signs and pulse rate and how to place the electrode pads in the correct position on the person's chest. There is also a video that people who share premises with persons at risk can go through well before an event occurs. You should watch and replay the video when you first purchase the apparatus, and at regularly intervals thereafter as a refresher for maintaining your knowledge about how to use the device.

Similarly the information supplied with the AED provides an excellent up date about the correct procedure for to Cardio Pulmonary Resuscitation (CPR).

Detailed Description of How the AED Device Works

The device works through a set of pads that are placed in correct locations on the chest. Once the device is switched on, the AED automatically checks the subject's heart rhythm and automatically works out if a shock is needed to reset the correct beating of the heart. If shocks are required, the machine tells the user to stand back and when all is clear asks the user to push a button to send the shock to the paddles. The AED also provides users with a step by step guide to how to conduct CPR, which is very useful.

The unit should not be seen as a substitute for calls to emergency response teams, which should be the first thing you or someone else does in an emergency. The AED device is only designed to fill in the gap between when the emergency happens and the response team arrives. This is a very critical time in terms of saving the life of someone who has cardiac arrest. The automated defibrillation units monitors the patients heart and can make repeated responses until emergency crews arrive and take control.

Cardiac arrest happens when the heart's inbuilt electrical stimulation malfunctions and becomes erratic. The heartbeat become chaotic (ventricular fibrillation) or can too fast (ventricular tachycardia). Because of this chaotic beat pattern the heart may stop pumping blood to the brain and the rest of the body risking death and injury. The brain and the other vital organs may rapidly become starved of oxygen carries in the blood. Many people with these heart problems die before emergency help arrives and many that survive have permanent brain damage. The faster the heart's normal beating rhythm is restored the better, and every minute of delay increases the risk.

Cardiopulmonary resuscitation (CPR) is a vital step in the emergency lifesaving process as it keeps some blood flowing and oxygen being supplied to your brain, heart and other vital organs for a small period of time until help arrives. It applies to heart failure and slow heart beats. It is quite distinct from heart fibrillation and the emergency response complements it. Remember to start CPR before you engage the AED, and to recommence CPR again after the shocks have been delivered if CPR is still needed.

If someone's heart undergoes fibrillation and an AED device is available someone could grab it, connect it to your chest and get the device to check the heart beat and rhythm. If an electric shock is required, the AED device automatically triggers an external electrical current for stimulating heart muscle. That shock delivered by the AED could reset the heart and make it beat normally again and possibly save someone's life. If you use or someone else uses an AED, it is absolutely essential that you or someone else call the local emergency services first, to get help on the way. The devise is never to be seen as an alternative to getting professional help.

In addition to being carried by ambulance crews and police, AEDs are being installed in many public places, including sports arenas, malls, cruise ships, office buildings, golf courses, airports, planes, schools, casinos and public offices. However, the problem is that many cardiac arrests happen in private homes that do not have these devices. Those families with risks are being encouraged to install one. However some critics argue there is no substantial evidence to prove that home defibrillators actually save more lives. But the installation of these devices in public offices tends to counter this claim. Critics also argue that having and AED in the home could delay calls for emergency medical services or even stop these calls. They also argue that the AED units will not be maintained properly, or that various people in the house may forget where they are kept. There are also risks that people may not be able to use them properly. There are risks of heart damage if the units are not properly used.

How to Decide if you need an AED at home

Whether you need an AED at home really depends on the risk of heart arrest in your family and the friends likely to visit your house. Having an AED may help provide peace of mind that something can be done in event that someone has a cardiac arrest and may help save a life. There is no absolute list of criteria for deciding if you need an automated external defibrillator and it is complicated by you having to assess the risk. But below are some points to consider when making your decision:

  • Your family and friend's risk of sudden cardiac arrest and death. Various doctors can help you understand these risks and if an AED could help. AEDs work only for specific types of heart fibrillation. Most people who have high risk of sudden cardiac death have an implantable cardioverter-defibrillator (ICD) rather than an AED.
  • If you live alone, an AED may be of little use. Also family members may not know where it is or may be unwilling or afraid to use it.
  • People who use the device must have the strength and flexibility to set the device up and know how to use it properly.
  • Home AEDs can be very expensive and need to be maintained.
  • The risk of problems with inappropriate use.

Tips for Maintenance and Proper Use of AED Units

If you decide to buy and set up an AED in your home, you need to learn how to use the device keep it well maintained and charged up properly:

  • The AED has some instructions and guides for use, but you should enroll yourself and your members or your family in various education classes that teach CPR and AED use.
  • Get your family doctor to demonstrate the device and when it should be used for a family member.
  • Have regular practice runs using the AED as you would in an actual emergency. This includes the preparation and assessment of the vital signs prior to its use. Remember, the AED is only designed to treat certain types of cardiac arrest.
  • Have regular refresh sessions on the AED instructions.
  • Store your AED in an appropriate place that is easily accessible and everyone knows its location.
  • Keep the AED properly maintained, particularly the battery condition, age and whether it is properly charged at all times.
  • Take a course to learn CPR and regularly go through it to ensure you know what to do and the correct timings for the breaths and heart compressions.
  • Make sure you buy the AED that is designed for home use. The units designed for emergency crews and even those designed for public buildings may be quite different from those designed for home use. Check the specification and read the reviews to make sure the AED unit you buy is reputable and properly designed for your intended use.

© 2012 Dr. John Anderson


Submit a Comment

  • diogenes profile image


    6 years ago from UK and Mexico

    Seems the poor will continue to die. These are a wealthy man's device.

    Useful article, though.



This website uses cookies

As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

Show Details
HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
LoginThis is necessary to sign in to the HubPages Service.
Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
AkismetThis is used to detect comment spam. (Privacy Policy)
HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
MavenThis supports the Maven widget and search functionality. (Privacy Policy)
Google AdSenseThis is an ad network. (Privacy Policy)
Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
Index ExchangeThis is an ad network. (Privacy Policy)
SovrnThis is an ad network. (Privacy Policy)
Facebook AdsThis is an ad network. (Privacy Policy)
Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
AppNexusThis is an ad network. (Privacy Policy)
OpenxThis is an ad network. (Privacy Policy)
Rubicon ProjectThis is an ad network. (Privacy Policy)
TripleLiftThis is an ad network. (Privacy Policy)
Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)