How should defibrillator pads be placed for a patient with a pacemaker?

When using a defibrillator on a patient with a pacemaker, it is essential to ensure that the pads are placed in a manner that avoids interference with the device's function. The correct placement is at least 10-15 cm away from the pacemaker and its leads. This distance helps to minimize the risk of the defibrillation shock interfering with the pacemaker's operation, which could result in inappropriate pacing or other complications.

By positioning the pads adequately away from the device, you ensure that the electrical shock is directed primarily at the heart to restore a normal rhythm while safeguarding the pacemaker's integrity. It's crucial to recognize that pacemakers can be sensitive to external electrical fields, and placing the pads too close can disrupt their performance and lead to adverse effects on the patient’s cardiac function.