What is the primary concern during defibrillation?

The primary concern during defibrillation is ensuring proper pad placement and energy setting. Proper pad placement is critical because it affects the pathway the electrical current follows through the heart. Correct placement allows for maximum transfer of the shock to the myocardium, increasing the likelihood of restoring a normal rhythm. If the pads are placed incorrectly, the shock may not be effective or could potentially harm the patient.

Furthermore, selecting the appropriate energy setting is essential as it impacts the shock's effectiveness. Different rhythms and clinical scenarios may require varying energy levels for optimal results. For example, defibrillation for ventricular fibrillation typically requires a higher energy level than for certain other arrhythmias. Ensuring these factors are meticulously addressed enhances the success of the defibrillation process and ultimately improves patient outcomes.