If Mr. Goodman had a pacemaker or ICD, what should Joanne do before applying the AED pads?

When using an Automated External Defibrillator (AED) on a patient with a pacemaker or Implantable Cardioverter Defibrillator (ICD), it is essential to adjust the pad placement to avoid the device. Pacemakers and ICDs are implanted under the skin and are typically located on the left side of the chest. Placing AED pads directly over these devices can interfere with their function and might also cause discomfort or injury to the patient.

By positioning the AED pads away from the device, you ensure that the defibrillation shock is delivered effectively to the heart tissue without obstruction from the implanted device. This placement also minimizes the risk of potential negative interactions between the AED and the pacemaker or ICD, leading to a safer and more effective management of the patient's cardiac emergency.