How to Use an IPAD AED in a Cardiac Emergency

This guide explains how to use an IPAD AED device safely and effectively during a cardiac emergency. Please note that we are demonstrating with a training AED unit, specifically the IPAD SPR model. However, the NFK and SP1 versions operate in a similar manner. Training AEDs function just like live units, but they are used only for demonstration purposes.

CPR and live AED use should only be performed in real emergencies involving cardiac arrest.

Initial Response on Arrival at the Scene

When approaching an unresponsive person, follow these essential steps:

• Ensure the area is safe. Pause and assess for any danger. Stop, think, and act accordingly.
• If available, wear gloves, but do not delay care if they are not easily accessible.

Assess the Casualty

• Check for a response by speaking loudly and gently shaking their shoulders.
• Open the airway, inspect for obstructions, and check for normal breathing for up to 10 seconds.
• If the casualty is not breathing or breathing abnormally, commence CPR immediately.

Calling for Help and Fetching the AED

If another person is present, instruct them to:

• Call emergency services immediately.
• Fetch the nearest AED unit without delay.

If you are alone, call emergency services using speakerphone while continuing CPR.

Using the AED Device

When the AED arrives:

• Switch it on using the power button to activate the voice instructions.
• Expose the chest – remove clothing, including bras or any items that obstruct pad placement.
• Inspect the chest for pacemakers or surgical scars. Avoid placing pads directly over pacemakers.
• Remove medical patches if present, as they may interfere with shock delivery.
• Use a razor from the AED prep kit to shave excessive chest hair if required, but do not delay treatment if not available.
• Move metal necklaces away from the chest area.

Selecting the Correct Pad Configuration

• Set the device to adult or child mode as appropriate.
• Open the pad packaging and apply pads according to the diagram provided.
• For adults:
  • Place one pad below the right collarbone.
  • Place the other under the left armpit.
• For infants or children:
  • Place one pad on the front of the chest and one on the back.

Press pads firmly to ensure good contact for effective shock delivery.

Follow AED Instructions

The AED will begin analysing the heart rhythm and will instruct you not to touch the casualty. Clearly state:

“Everyone stand clear!”

If a shock is needed, the AED will either automatically deliver it (fully automatic) or prompt you to press the shock button (semi-automatic). In the case of a semi-automatic unit:

• Ensure everyone is clear.
• Press the shock button when prompted.

Continuing Resuscitation

After a shock is delivered (or if no shock is advised):

• Resume CPR immediately.
• The AED will provide a metronome for chest compressions (100–120 compressions per minute).
• Give 30 compressions and 2 rescue breaths if trained and confident.
• If not, continue with hands-only CPR.
• The AED will re-analyse the rhythm every two minutes and advise if another shock is needed.

Continue Until Help Arrives

Follow the AED voice prompts and continue CPR until professional help arrives or the casualty shows signs of life.

If alone, continue until you are physically unable to do so.

Final Advice

Early use of an AED dramatically increases the chance of survival. AEDs are designed to be simple to use, even under pressure.

Stay calm, trust the device, and follow the instructions provided.

While this guide focuses on the IPAD AED brand, all AEDs operate in a similar manner – turn the unit on and follow the voice prompts.