What is the recommended defibrillation pad placement in pediatric patients?

• A. Anterolateral placement; follow device guidance and child size considerations.
• B. Anterior-posterior placement.
• C. Pads on the chest only.
• D. Place pads without device guidance.

Answer: (A)

Anterolateral placement is the standard because it puts the two pads on opposite sides of the chest, creating a clear current path through the heart to deliver an effective shock. This position works well for most pediatric patients and aligns with how most AEDs and pediatric pad sizes are designed to deliver energy. The key is to follow the device’s guidance and consider the child’s size—some situations in very small children may require an anterior-posterior placement or a one-on-chest and one-on-back arrangement to prevent pad overlap or improve contact, but those adjustments come from the device instructions and pediatric protocols. Avoid pads placed without device guidance, and avoid configurations that compromise the current path or pad safety.