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You put the pads on anyone who suddenly passes out and let the AED decide.

It will recognize ventricular fibrillation (the most common fatal arrhythmia). Technically, you don't shock pulsatile ventricular tachycardia, only pulseless. Not sure how AED's handle that, as I'm an anesthesiologist and would not use one at work - I'd read the rhythm myself and detect pulse either manually or with, say, a pulse oximeter. Never had cause to use an AED out in public.

Plain old CPR is what you do if they have pulseless electrical activity (the electrical system of the heart is working, but it's not pumping blood) or complete cessation of electrical activity (though it's probably not going to work in that case). We can use manual defibrillators as external pacemakers (much lower power output but still not going to be fun).



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