North Carolina EMT State Practice Exam

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Prepare for the North Carolina EMT State Exam with interactive quizzes and comprehensive explanations. Master your skills and gain confidence by reviewing key topics before test day!

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What should be avoided when using an AED with a patient who has a pacemaker?

Placing pads directly over the pacemaker
Using the AED within 10 feet of the patient
Administering shocks in wet conditions
Reanalyzing the patient every minute

The correct answer is: Placing pads directly over the pacemaker

When using an Automated External Defibrillator (AED) on a patient with a pacemaker, it is crucial to avoid placing the pads directly over the implanted device. The pacemaker is typically situated in a specific area, often just below the left collarbone. If the pads are placed over the pacemaker, it can potentially disrupt its function. The electrical shock delivered by the AED may impede the pacing capability of the device, which can interfere with the heart's rhythm and potentially cause harm to the patient. This careful placement of AED pads ensures that the shock can effectively depolarize the heart muscle, allowing it to resume its normal rhythm while safeguarding the operation of the pacemaker.