Defibrillation: Paddles or Hands-Free Pads?

[Jolly Roger]

A question for fellow medics out there:

What is your opinion: Should we be totally using the hands-free pads for quick-looks and defibrillation? Or should we still have the old-fashioned hand-held paddles?

I say have the options for both.

Any thoughts?

[BFD847]

I started in 92 only as an EMT initially. Pysio LP5 was the choice. Our service skipped the 10 and then bought LP11 as soon as they came out. <br />I thought it was one of the dumbest things they ever did when they initially introduced the "hands free". Know I do not think I would have it any other way.The slight time factor it takes to place the patches would probably be the biggest issue. But I think it probably is not all that much by the time you get out your jel and place your paddles. For overall safety of rescuers being able to maitain a good distance from the patient is very benficial.<br />And once they are there you are always ready at a moments notice just charge (clear) and push the button<br />I am not very familiar with other models but I think paddles are still available with the LP12.<br />Just my thoughts Have a good night John Sapp EMTP

[091101]

Both, absoulutely. It's not a "quick look" if you have to take out the pads, unwrap them, plug them in, then peel each one and stick it on. That makes it a long look. I can get gel on a lot quicker. But yes, once the initials have been done, the pads are excellent.

[panther]

BFD847.....In answer to your question.....yes the paddles are still available on the LP12.

I like having the option of going to the paddles since the pads have blown-up on me twice! <img src="mad.gif" border="0"> <img src="mad.gif" border="0"> <img src="mad.gif" border="0"> Anyone else had this problem?

As always, stay safe and well! <img src="smile.gif" border="0">

[mikema]

i started as a paramedic back in 1981,at that time all we had were the LP-5's.as time went on and new models,the new and improved ones hit the street,i was alittle hesitant to use the hands off defibs.not because i thought they were no good,i was so accustomed to using the quick look paddles i never really tried them.as the LP5's were phased out i had no other choice but to use the hands-free defibs.and to tell you the truth this dinosaur came to like and srarted to use them and with good results.as far as the time factor in setting up the pads i found with practice and using them alot,i found i could put the pads in operation.as far as the pads exploding on me,the only problem i had was alittle arcing when the pads were'nt placed well on the victims chest. thanks mike m <img src="smile.gif" border="0">

[RESQ515]

Have the option for both.My department currently uses Zoll M Series with pads and paddles plus the AED option for BLS crews to use. Paddles are great for quick looks but as far as running a code goes I would want pads. Our Zolls are also equipped with an adapter to accept the AED pads the local Police use becuse they are usually first on scene.

[rwalston]

I think we need both because of personal preference and safety. I feel that without the quick look paddles it takes too long to place the pads especially if you do not use them everyday like some departments do. Then after go to the pads for safety on an arrest.

[ALSfirefighter]

I'm a hands free person all the way. I have never experienced or seen any extended amounts of time applying the pads, so in my opinion that's not a problem. It's really no different then applying an AED. I also have never had, nor heard of, (until I read this post) of pads exploding. I've heard of a few arcing like mike m mentioned. But not as much as arcing from paddles that not enough pressure was applied. I also believe its easier to supervise a code and giving a better view of the area when defibrillating being you don't have to hang over the patient. <br />Finally, the LP-12 does come with paddles, however they do not sit very well on the unit. 99% of us use the combo pads so we took them off. We have a few medics that like the paddles, (mostly newer medics who have the "I need to feel the power" mentality), or those who haven't adapted to the 12 from the 10 yet. As far as time we keep the defib/pacing cable connected, so all you have to do is apply the pads and plug in the quick connector. The only thing you have to keep in mind is you cannot check asystole in 2 leads unless you connect your lead cables.

So that's why I like the combo pads better.<br />------------------------------------------------<br />The above is my opinion only and doesn't reflect that of any dept/agency I work for, deal with, or am a member of. <img src="biggrin.gif" border="0">

[gifd70carr52vbss]

I love the paddles, I think it just is the age thing. It just brings the old out in a person.

[Loco179]

I like the option. And its always great to have a backup. But then again nothing ever goes wrong with the handsfree well thats what my chief says.lol