Post Originally appears on AllNurses 5/24/2015 http://allnurses.com/camp-nursing/pediatric-pads-for-990490.html
We have a philips Heartstart AED and the pediatric pads are about $100. We are a boys camp - ages 8-15. There are occasionally smaller children on the island, but rarely. The budget is tight this year and I'd love to use that money some other way. Anyone just go with adult pads since the AEDs are attenuated anyway?
Well there are two schools of thought to this question. From a camp nurse prospective I see your point, child pads are very expensive, and only used in a small portion of our population. Also cardiac arrests are high acuity low occurrence events.
As a AHA instructor the current science advises using a manual defibrillator. If using an AED they advise using child pads, and in the absence of child pads, adult pads may be used. So from the AHAs standpoint you would be within protocol, if you use adult pads.
I ponder if your more open to litigation knowing that your population would be children and not providing ideal equipment, although any defibrillator is considered appropriate per AHA standards.
Personally if you only have one defibrillator I would want to stock both child and adult pads. If I had more than one unit I would stock the one I was most likely to use with both and any others with adult pads only to simplify decision making for bystanders (and also to save money)
I am an AHA instructor, but am only an Internet lawyer. Any issues of liability would be the rein of actual legal counsel.
Alex "Campfire Nurse" Egan
All opinions expressed here are my own and do not represent those of my employer. Remember anyone can pretend to be anyone on the internet, so please verify all information presented. NEVER take advice from strangers.