During defibrillator use, what should you do during shock delivery?

• A. Clear the scene during shock
• B. Stay in contact with the victim during shock
• C. Check pulse while shocking
• D. Move pads during shock

Answer: (A)

During shock delivery, safety and proper energy transfer hinge on not being in contact with the patient. The key rule is to clear the area: everyone, including rescuers, should stand away from the chest and wrists and avoid touching the patient while the defibrillator delivers a shock. You’ll typically call out that it’s clear and visually verify no one is touching the patient. If anyone is touching, the shock could arc to them, causing injury and reducing the effectiveness of the treatment for the patient.

Keeping pads in place is important, and the device handles the energy transfer automatically; touching the patient during this moment is what you must avoid. After the shock is completed, you resume CPR if indicated and proceed with the next steps per protocol.