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The Daily Insight

Which is better CPR or AED

Author

Emily Dawson

Published Apr 05, 2026

“The AED presents a tough choice,” says the Health Letter. “It’s theoretically better than CPR because it can restart the heart, whereas CPR is merely a stopgap.” One study found that a defibrillator-CPR combination improved the survival rate over CPR alone (23% versus 14%).

Can you do CPR with AED?

Steps for Using an Automatic External Defibrillator If prompted to begin CPR, follow the cycle of 30 compressions and 2 rescue breaths. After five cycles allow the AED to analyze the rhythm again. Continue CPR until help arrives or until the AED announces rhythm restored.

How long do you do CPR before AED?

The duration of CPR before defibrillation ranged from 90 to 180 seconds, with the control group having a shorter CPR interval lasting only as long as the time required for defibrillator deployment, pad placement, initial rhythm analysis, and AED charging.

Can you use AED without CPR?

The AED is programmed not to deliver a shock if a shock isn’t needed. Administer CPR . Start CPR after the shock is delivered if CPR is still needed. The AED will also guide users through CPR .

What does AED mean in CPR?

An AED, or automated external defibrillator, is used to help those experiencing sudden cardiac arrest.

Does AED detect pulse?

An AED will automatically analyse the heart rhythm of a pulse less victim and, if the victim is in ventricular fibrillation (VF) or ventricular tachycardia (VT), shock the victim’s heart in an attempt to restore its rhythm to normal.

Does AED pad placement matter?

The importance of the positioning of the AED pads cannot be stressed enough. Using incorrect pad placement can result in the shock not being administered to the heart efficiently. This can then mean that the electrical current is not able to deliver the shock to the heart properly.

Can anyone use a AED?

You don’t need to be trained to use a defibrillator – anyone can use it. They are simple and easy to use and you don’t need any training. There are clear instructions on how to attach the defibrillator pads. It then assesses the heart rhythm and will only instruct you to deliver a shock if it’s needed.

When should not use AED?

When is it Not Safe to Use an AED? Do not use an AED if the person is lying in water, covered in water or their chest is too wet from sweat. Do not place an AED pad over a medication patch or over a pacemaker. Do not use an AED on a child younger than 12 months without adequate training.

What comes first AED or CPR?

Always call 911 first before administering CPR or using an AED. Timing of the use of an AED first depends on how accessible an AED is. If an AED is immediately accessible, get the AED and use it right away. However, in all likelihood, there will not be an AED close enough and CPR should be started first.

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What happens if AED pads are reversed?

If the location of the pads on the chest is reversed, will the AED still work? Yes, if the placement of the pads on the chest is reversed, the AED will still work.

Where should AED pads not be placed?

A common mistake is to place this pad on the front of the chest, this is likely to make an AED shock less effective. AED pads need to be placed in direct contact with the skin. Excessive chest hair can reduce pad contact with the skin and risk causing burns.

Where do you stick AED pads?

Place one pad on the right side of the chest, just below the collarbone. Place the other pad on the lower left side of the chest. Connect the pads to the AED.

Will AED shock SVT?

For VT and SVT, it also verified that the ratios of the shock advice differed for each AED. The accuracy of the ECG rhythm analysis was elucidated for each AED. This study revealed that AEDs could advise to deliver shocks for SVTs, especially those with a wide QRS complex.

Will an AED shock ventricular tachycardia?

AEDs advise a shock only to ventricular fibrillation and fast ventricular tachycardia. The electric current is delivered through the victim’s chest wall through adhesive electrode pads.

Do you give CPR if there is a pulse?

If there is no sign of breathing or pulse, begin CPR starting with compressions. If the patient definitely has a pulse but is not breathing adequately, provide ventilations without compressions.

Can you shock a flatline heart?

Pulseless electrical activity and asystole or flatlining (3 and 4), in contrast, are non-shockable, so they don’t respond to defibrillation. These rhythms indicate that the heart muscle itself is dysfunctional; it has stopped listening to the orders to contract.

Can you use an AED on someone with a stent?

Yes, this is safe. Most pacemakers and ICDs (implantable cardioverter defibrillators) are implanted in the upper left side of the chest.

What can restart a stopped heart?

The only effective treatment for SCA is to deliver an electrical shock using a device called a defibrillator (to de-fibrillate the heart), which stops the chaotic rhythm of a heart in VF, giving it the chance to restart beating with a normal rhythm.

Is AED certification required?

Expected AED users must receive training from and be certified by the American Heart Association, the American Red Cross, or an equivalent state or nationally recognized course, in CPR and in the use of an AED, and the users must maintain their certification in CPR and AED use.

How many minutes is CPR between shocks?

Standard resuscitation using the advanced life support (ALS) algorithm specifies a period of two minutes of CPR after delivering a shock before re-assessing the rhythm and delivering a further shock if indicated.

Should you shave a man's chest before using an AED?

Chest hair can limit the contact between the pads and the skin, preventing the AED from reading the heart rhythm and delivering a shock. Use a razor to shave the chest in the area of pad placement.

Can you use AED on infants?

Automated external defibrillators should be used in infants with suspected cardiac arrest, if a manual defibrillator with a trained rescuer is not immediately available. Automated external defibrillators that attenuate the energy dose (eg, via application of pediatric pads) are recommended for infants.

How do you use AED on a woman?

Apply the AED electrode pads as indicated on the packaging. On most women, the breasts will fall to the side once clothing is removed. They will no longer be “in the way” of performing CPR and hand placement would be the same as on a man – two fingers above the bottom of the sternum, between the nipples.

What are the 4 special considerations when using an AED?

  • Excessive chest hair. If the victim has a hairy chest you will need to remove the hair prior to placing the AED pads on the victim’s chest. …
  • Medication Patches. …
  • Water and/or sweat. …
  • Pacemakers or Defibrillators. …
  • Fully Automated AED.

What victim needs high quality CPR?

High-quality CPR is provided to people who have suffered cardiac arrest.

Are AED pads interchangeable?

No. Each manufacturer has their own proprietary means of attaching AED electrode pads to their AED devices and they are not interchangeable. Purchase only manufacturer-approved electrode pads designed for your make and model AED.

What can you do if a victim has hair on their chest?

The options to improve conduction with a hairy chest are to either shave the patient with a razor before pad placement, apply significant pressure to the pads to increase conduction, or attach a set of pads and then remove them rapidly in an attempt to remove enough of the hair so the application of new pads will have …

How many AED pads are there?

Apply one pad on the upper right chest above the breast. For infants, apply on the front of the chest. Apply the second pad on the lower left chest below the armpit. For infants, apply a second pad to the back (Figure 12e).