Parents, caregivers, and healthcare professionals: ready to master pediatric lifesaving skills? Our pediatric AED quiz is the perfect way to explore which of the following statements is true about defibrillation and brush up on child AED use guidelines. You'll discover how to defibrillate a child confidently, understand the latest pediatric AED protocol, and test your recall with practical scenarios. Dive in now by visiting our AED defibrillator challenge or explore more in our first aid quiz series . All questions are free and ideal for boosting confidence and preparing you for real-life emergencies. Ready to prove your knowledge? Let's get started!
At what age is a patient considered pediatric for AED pad selection?
Under 12 years
Under 8 years
Under 18 years
Under 1 year
AED pad recommendations typically define pediatric patients as those under 8 years old, aligning with weight and size considerations in PALS guidelines. This distinction ensures appropriate energy dosing and pad size. Children younger than 1 year often require specialized manual defibrillators. PALS Guidelines.
What is the recommended energy dose for a first pediatric defibrillation using a manual defibrillator?
3 J/kg
4 J/kg
1 J/kg
2 J/kg
Pediatric Advanced Life Support (PALS) guidelines recommend an initial defibrillation energy dose of 2 J/kg for children. This dose balances the need for effective myocardial depolarization with minimizing tissue injury. Subsequent shocks may increase in energy if the initial dose is unsuccessful. PALS Guidelines.
Which pad placement is recommended for pediatric AED use?
Anterior-lateral
Mid back-chest
Anterior-posterior
Apex-sternum
The anterolateral position places one pad below the right clavicle and the other at the left lateral chest, optimizing current flow through the ventricles. This placement is endorsed by the AHA for most pediatric cases. Anterior-posterior may be used in very small infants only if pads would overlap. AHA Electrical Therapy.
Why should pediatric pads be used when available?
They allow a smaller energy dose appropriate for a child
They stick better on sweaty skin
They are designed for adult chest anatomy
They include built-in motion detection
Pediatric pads attenuate the delivered energy to a level suited for smaller body mass, reducing risks of myocardial injury and burns. Using adult pads without attenuation may deliver excessive energy. Proper pad size ensures effective contact and current distribution. PALS Guidelines.
What does the pediatric 'key' on some AEDs do?
It records CPR quality metrics
It changes the rhythm analysis algorithm
It turns off adult defibrillation mode
It reduces delivered energy to a pediatric level
The pediatric key or function on many AEDs lowers the shock dose, typically to about 50 - 75 J or weight-based dosing. This assures that children receive an energy level appropriate for their size. The algorithm for rhythm detection remains unchanged. AED Pediatric Mode.
Above what weight can adult AED pads be safely used on a child?
Above 10 kg
Above 75 kg
Above 25 kg
Above 50 kg
Guidelines advise that children weighing over 25 kg (around 55 lbs) may receive adult pads when pediatric pads are not available. Below this weight, pediatric pads with dose attenuation are preferred to prevent excessive energy delivery. PALS Guidelines.
True or False: AEDs always require a pediatric pad to deliver safe shocks to children.
True
False
While pediatric pads are ideal, many AEDs offer a pediatric setting that attenuates energy without separate pads. In the absence of pediatric pads, adult pads can be used on children over 25 kg. Always follow manufacturer instructions. AHA Electrical Therapy.
True or False: CPR should be resumed immediately after shock delivery in children.
False
True
High-quality, uninterrupted CPR is critical; chest compressions should resume immediately after shock delivery. Minimizing pauses in compressions to under 10 seconds maximizes perfusion. This applies equally to pediatric and adult resuscitation. CPR Quality.
What is the maximum recommended pause in chest compressions for rhythm analysis and shock delivery?
Less than 10 seconds
Less than 5 seconds
Less than 20 seconds
Less than 15 seconds
Guidelines emphasize minimizing interruptions in chest compressions, recommending that pauses for rhythm check and shock delivery should not exceed 10 seconds. This limit helps maintain coronary perfusion pressure. CPR Quality.
Which rhythm detected by an AED indicates that defibrillation should be delivered?
Sinus bradycardia
Pulseless electrical activity
Ventricular fibrillation
Asystole
AEDs are designed to recommend shocks for shockable rhythms like ventricular fibrillation (VF) and pulseless ventricular tachycardia. Non-shockable rhythms such as asystole and PEA should prompt continuation of CPR and advanced life support measures. AHA Guidelines.
If pediatric AED pads are unavailable, what is the recommended course of action?
Wait until pediatric pads arrive
Only perform manual defibrillation
Use adult AED pads and proceed without delay
Avoid defibrillation altogether
When pediatric pads aren't available, using adult pads on children over 25 kg prevents delays in defibrillation. There's no pediatric-specific pad requirement for older children if weight allows. Prompt defibrillation improves survival. Cardiac Arrest Info.
How often do AEDs typically run self-tests to ensure readiness?
Monthly
Annually
Daily
Weekly
Most AEDs perform daily automatic self-tests of battery, pads, and circuitry. These regular checks help ensure the device is operational when needed. Users should still perform routine visual inspections. AED Basics.
What is the main risk of using adult AED pads on a small child without attenuation?
Excessive skin burns due to high current density
Loss of rhythm detection accuracy
Pads will not adhere
Inadequate energy delivery
Adult pads deliver higher energy that may cause skin burns and myocardial injury in small children due to high current density. Pediatric pads or attenuated settings reduce these risks while providing effective defibrillation. Pediatric Defibrillation.
What is the purpose of impedance compensation in pediatric defibrillators?
To record CPR quality metrics
To measure heart rate accurately
To adjust delivered energy based on chest impedance
To filter out external electrical noise
Impedance compensation modifies the delivered energy to account for variations in chest impedance, ensuring adequate myocardial depolarization. This feature improves the likelihood of successful defibrillation across different patient sizes. Defibrillation Physics.
Which statement about AED pad storage is correct?
Apply pads to training mannequins
Store in the sealed package until use
Store in a refrigerator below 4°C
Leave pads exposed in the AED cabinet
AED pads should remain in their sealed, unopened packaging until needed. This preserves the adhesive and prevents contamination or drying out. Expired or damaged pads can fail during an emergency. AED Storage.
True or False: The AED algorithm for rhythm analysis is the same for pediatric and adult modes.
True
False
AEDs use the same arrhythmia detection algorithm regardless of pediatric or adult settings. The pediatric mode or pads only attenuate energy, not alter rhythm recognition. This ensures reliable identification of shockable rhythms. AED Function.
After delivering an initial pediatric shock of 2 J/kg in pulseless ventricular tachycardia, what is the recommended energy for the second shock?
2 J/kg
5 J/kg
3 J/kg
4 J/kg
PALS guidelines recommend escalating the second shock to 4 J/kg for refractory ventricular tachycardia or fibrillation. This escalation increases the chance of successful defibrillation while monitoring for myocardial safety. PALS Guidelines.
Which feature in pediatric AED pads helps ensure correct orientation and placement?
Longer cable length
Textured adhesive surface
Color-coded connector and backing
Integrated motion sensor
Pediatric pads often feature color-coded connectors and backing that match the AED's labeled ports. This visual cue reduces placement errors in emergencies. Other pad features focus on size and adhesion but not orientation coding. AED Pad Design.
Why is anterior-posterior pad placement sometimes recommended for infants under 1 year?
To improve pad adhesion on wet skin
To simplify pad placement instructions
Because it reduces defibrillation impedance
To avoid pad overlap on a small chest
Infants have a very small chest surface, and anterolateral pads may overlap, reducing effectiveness. Placing one pad anterior and one on the back prevents overlap and ensures current flow through the heart. This placement is a practical adaptation for very small patients. UK Resuscitation Council.
How should rescuers prepare a wet or sweaty chest before applying AED pads to a child?
Shave chest hair completely
Apply alcohol wipe to disinfect
Press pads firmly until they adhere
Dry the skin thoroughly with a towel
Moisture impairs pad adhesion and conduction, so drying the chest ensures good contact and effective shock delivery. Alcohol wipes may leave residue and delay attachment; shaving is only required for very hairy chests. Emergency Care Prep.
In pediatric defibrillation, which link in the pediatric Chain of Survival is directly facilitated by AED use?
Early recognition
Early defibrillation
Early CPR
Post-arrest care
AEDs enable early defibrillation, which is critical for improving survival in shockable rhythms. While AEDs support recognition and are part of a broader care system, their primary role is delivering timely shocks. Chain of Survival.
Which cardiac rhythm is a contraindication for delivering a shock with an AED in a pediatric patient?
Ventricular fibrillation
Ventricular flutter
Asystole
Pulseless ventricular tachycardia
Asystole is a non-shockable rhythm and should be managed with high-quality CPR and medications rather than defibrillation. AEDs will not advise a shock for asystole. Defibrillation is reserved for VF and pulseless VT. AHA Guidelines.
After 2 minutes of high-quality CPR on a collapsing child, an AED arrives. What is the next step?
Turn on the AED and attach pads for analysis
Check for a pulse before attaching pads
Deliver a shock immediately without analysis
Continue CPR until paramedics arrive
The correct sequence is to power on the AED, attach the pads, and allow the device to analyze the rhythm before deciding on a shock. This integrates with CPR and minimizes pause duration. Cardiac Arrest Protocol.
How can rescuers reduce ECG artifact to ensure accurate AED rhythm analysis in a child?
Turn off the AED's display lights
Pause chest compressions briefly during analysis
Vibrate the chest gently
Press pads against the chest harder
Motion from CPR creates artifact that may confuse the AED's analyzer. A brief pause (usually under 10 seconds) during rhythm analysis reduces interference, improving shock recommendations. Pads should remain in contact but no compressions occur. CPR Quality.
In pediatric defibrillation, the delivered current to the myocardium most directly relates to which of the following?
Inversely proportional to delivered energy
Equal to delivered energy multiplied by impedance
Equal to the square of the impedance
Proportional to the square root of delivered energy divided by impedance
Physics dictates that current (I) approximates ?(energy/impedance), derived from the relationship E=I²×Z, where E is energy and Z is impedance. Thus higher impedance reduces current, and higher energy increases it non-linearly. Defibrillation Physics.
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Study Outcomes
Understand Fundamental Principles of Pediatric Defibrillation -
Explain how defibrillation works in young children and recognize which of the following statements is true about defibrillation.
Identify Child-Specific AED Settings and Pads -
Distinguish the correct pad placement, energy levels, and safety settings required for child AED use guidelines during pediatric emergencies.
Apply Proper Techniques for How to Defibrillate a Child -
Demonstrate the step-by-step process for safe, effective pediatric defibrillation according to pediatric AED protocol.
Evaluate Statement Validity in Pediatric Defibrillation Scenarios -
Assess multiple-choice statements to determine which are accurate or inaccurate, reinforcing your comprehension of child AED use guidelines.
Recall Critical Safety Precautions in Pediatric AED Use -
Memorize essential safety steps and contraindications to prevent harm while performing pediatric defibrillation.
Interpret Quiz Feedback to Boost Confidence -
Use quiz results and explanations to identify knowledge gaps and strengthen your mastery of pediatric AED quiz content.
Cheat Sheet
Energy Dosing and Formula -
In pediatric defibrillation, initial energy is 2 - 4 J/kg (AHA PALS); for a 15 kg child, that's 30 - 60 J. Use the formula E = 2 J/kg × weight (kg) for the first shock, then consider 4 J/kg for subsequent shocks. A handy mnemonic is "Double or quadruple" to recall increasing joules per kg.
Pad Placement and Size Considerations -
The correct pad placement is anterior-lateral in children ≥1 year; for infants (<1 year), anterior-posterior reduces pad overlap (ERC Guidelines). Always choose pediatric-sized pads when doing the pediatric AED quiz or real-life scenario to avoid current shunting. If pediatric pads aren't available, use adult pads with careful spacing: one on the chest, one on the back.
Pediatric AED Mode and Safety Settings -
Most child AED use guidelines recommend a pediatric attenuator to reduce adult energy by about 50 - 75%, aligning with AHA recommendations. If no pediatric mode exists, you can still safely use an adult AED by ensuring proper pad spacing and delivering only one shock at the lowest dose. This knowledge is key when tackling how to defibrillate a child in both quizzes and emergencies.
Recognizing Shockable Rhythms -
Which of the following statements is true about defibrillation? Only ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) are shockable in children; asystole and PEA require immediate CPR and medications. Quick rhythm assessment before shock is vital - remember "Shock VF/pVT only," from AHA and ERC guidelines.
Integrating into Pediatric AED Protocol -
According to the 2020 AHA pediatric AED protocol, after each defibrillation you must resume CPR for 2 minutes with a 15:2 compression-to-ventilation ratio for two rescuers. Aim for a chest compression fraction above 80%, minimizing pauses in compressions. This protocol is a core topic in child AED use guidelines and the pediatric AED quiz syllabus.
