Ontario Paramedic Practice Exam

What is the maximum number of shocks recommended in a row before reassessing the patient with an AED?

1. One shock

2. Two shocks

3. Three shocks

4. Four shocks

The correct answer is: Two shocks

The recommended practice is to deliver a maximum of two shocks in a row with an Automated External Defibrillator (AED) before reassessing the patient. This protocol is designed to ensure that the focus remains on the patient's response to the shocks, allowing for timely evaluation and necessary adjustments to treatment if there is no change in the patient's condition. Following two shocks, it is critical to reassess the patient by checking for signs of circulation and responsiveness; this informs the rescuer whether further shocks or other interventions, such as high-quality CPR, are warranted. The rationale behind this two-shock protocol is to balance effective defibrillation attempts with the need for continuous assessment, optimizing the chances of a successful outcome.