Post-Cardiac Arrest Chest Pain and Soreness: Understanding the Effects of Multiple AED Shocks

Have you ever wondered what it's like to be shocked multiple times by an AED? Can the chest feel sore afterwards? This article delves into the typical experiences many people have after receiving repeated electrical shocks, common reasons for post-shock soreness, and how advancements in AED technology can mitigate discomfort.

Common Experience of Chest Soreness After Multiple AED Shocks

It is quite common for individuals to report feeling soreness in their chests after being shocked multiple times with an automated external defibrillator (AED). The electrical shocks administered during an AED use can cause muscle contractions, leading to soreness similar to what one might experience after intense exercise. Additionally, the physical process of administering CPR or the application of pads can contribute to discomfort or bruising in the chest area.

If someone experiences significant pain or other concerning symptoms after such an event, it is crucial for them to seek medical evaluation promptly. While a majority of cases may experience soreness, there might also be some 'minor' skin burns from the electrical current, but advanced AED technology has significantly reduced this risk.

Impact on the Chest and Skin

Assuming the patient survives, the answer is an unqualified 'yes.' The electric shock causes a strong contraction of muscles, and even a single shock can lead to soreness for a couple of days. This effect is widely experienced by healthcare professionals who have defibrillated multiple patients.

After a bout involving C')))18 months ago, I had the unique opportunity to be the patient in two cardioversion procedures. Both times, I was sedated for the actual shocks, hence I did not experience any pain during that specific moment. However, a few days later, I noted soreness in my chest and some burns on my skin from the electricity.

The placement of the pads and modern adhesive pads have greatly reduced skin burns and soreness. It is now common practice to place the pads either over the sternum and between the shoulder blades, or just above the sternum, rather than the traditional sternum and left lateral chest placement. This modern pad placement directs almost all of the current through the heart, thus minimizing muscle pain.

The Importance of Modern AED Technology

Modern AED technology has significantly reduced the discomfort experienced by patients. Additionally, new adhesive pads with conductive gel have almost eliminated the burns we used to see with traditional defibrillation. Furthermore, the use of bipolar defibrillators allows the same number of joules to be delivered with half the voltage, reducing muscle pain and skin burns.

For those concerned about the overall effectiveness of AEDs, the devices are almost always accompanied by chest compressions. These compressions will likely lead to a 'sore chest' and, in some cases, broken ribs. However, the benefits of using AEDs to save lives far outweigh the temporary discomfort.

Conclusion

Post-cardiac arrest chest pain and soreness are common experiences, especially when multiple AED shocks are involved. While the sensation can be uncomfortable, advancements in AED technology have significantly reduced the discomfort experienced by patients. If you or someone you know has experienced AED shocks, understanding these effects can provide reassurance and relief.

References

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Note: This article is a general informational piece and does not substitute professional medical advice. If you have specific concerns, consult a healthcare professional.