Which one do you use... Difib Paddles or the Pads

[emtp240]

I'll do a quick look w/ my boat anchor LP11. I prefer to use paddles in the house, and pads during transport for safety reasons. Keep your pads handy in case you need to start pacing...

[emsgirl]

The agency I am interning with uses quick combo patches on the LP12. At school we learned using paddles on LP10's. Most agencies in Oregon use the pads even though state regualtions still say that you have to have two paddles on the ambulance.

[my_4_lads]

we use Zoll with pads have never seen anyone use paddles except at the ED

[vs-eh?]

Same answer as twojsm.

[MedFire]

We have pads the only time you will see paddles is on the dinosour in the back closet of the unamed service. LOL

[ffmedic266]

Personally I prefer paddles however the service I work for uses LP12 with only quick combo option so that sort of limits me to the pads.

[zippyRN]

I personally like the paddles. You cant really get you 25 pounds of paddle pressure that ACLS recommend with the pads. However I have seen a cardiologist on multiple occasions fold a towel and press down on the pads. It was kinda ridiculous to me but then again he is the man. The Zoll is what we use. Charles

you don't need '25 lb pressure' with pads

paddles are a flat unyielding surface the pressure requirement is to get a good 'seal' as such - decent contact area and keep the jelly pads nicely pressed on

stick on pads if the skin is prepped appropriately work just fine as long as there aren't huge air bubbles under them

[emtmoira]

Never used the paddles we only have pads around here on ambulances as far as I know. It would be cool to learn to use the paddles but hey a girl can wish she wasn't in rural backwoods EMS, at least we don't just jump people off car batteries (j/k never happened as far as I know)

[Richard B the EMT]

In the last 7 or so years, I don't think I've seen the paramedics I work with use anything but pads, even with paddles equipped defibs.

[Charles6771]

Thanks zippy for clearing that up. I think that they are put on wrong in a lot of cases. Charles