Question

if a victim of cardiac arrest has an implanted pacemaker or defibrillator, what special steps should you take?
avoid placing the aed pad directly over the implanted device
avoid using the aed to prevent damage to the implanted device
turn off the implanted device before applying the aed pads
consider using pediatric pads to decrease the shock dose delivered

Explanation:

When dealing with a victim of cardiac arrest who has an implanted pacemaker or defibrillator, the key is to ensure the AED functions properly without interference from the implanted device. Placing AED pads directly over the implanted device can interfere with the AED's effectiveness. Using the AED is still necessary as it is for cardiac arrest treatment. Turning off the implanted device is not a standard pre - AED step as it may not be feasible in an emergency. Pediatric pads are for pediatric patients (not based on implanted devices).

Answer:

Avoid placing the AED pad directly over the implanted device.