Active pad compression is not routinely recommended for defibrillation and the standard method of defibrillation should be via pads either in an anterior-lateral position, an anterior-posterior position or apex-posterior position.III (lack of benefit)C
In situations when initial attempts at cardioversion have failed, an expert clinician who feels that increased impedance may be a factor, such as in high body mass index (BMI), may elect to try active pad compression if paddles are also available to provide the compression.IIbC