{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T12:09:31Z","timestamp":1761739771213,"version":"build-2065373602"},"reference-count":22,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Objective: This pilot study compared the positions of the antero-lateral (standard) and antero-posterior (alternative) pads in a simulated cardiac arrest scenario in athletes wearing a wetsuit. Methods: Seventeen undergraduate physical education students were instructed to attend to a simulated victim, with no signs of life, dressed in a wetsuit. In a randomized fashion, they were instructed to place the defibrillator pads in the standard position (antero-lateral) or in the antero-posterior option. The variables analyzed were the time required to perform the procedure and the difficulty and fatigue perceived by the rescuers. Results: Thirty-four interventions were analyzed (17 with each technique), showing that with the antero-posterior option, the time required to expose the area was less (median 6.2 vs. 12.7 s, p = 0.001), but more time was required to dry it (median 31.0 vs. 18.4 s, p = 0.002). No significant differences were found between the two options in the total time from onset to first flush or in the perception of difficulty and fatigue. Conclusions: In the case of caring for a cardiac arrest victim wearing a wetsuit, the alternative of placing the defibrillator pads in the antero-posterior position is not a significant advantage over the standard position. Both configurations may be considered acceptable in prehospital aquatic settings, depending on situational constraints and rescuer preference.<\/jats:p>","DOI":"10.3390\/jcm14217536","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T05:48:46Z","timestamp":1761716926000},"page":"7536","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prehospital Defibrillation Challenges in Victims Wearing Wetsuits: A Pilot Comparison of AED Pad Placement Strategies"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1083-5496","authenticated-orcid":false,"given":"Myriam","family":"Santos-Folgar","sequence":"first","affiliation":[{"name":"REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain"},{"name":"School of Nursing, Universidade de Vigo, 36001 Pontevedra, Spain"},{"name":"Department of Obstetrics, Complexo Hospitalario of Pontevedra, Sergas, 36001 Pontevedra, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1543-9780","authenticated-orcid":false,"given":"Mart\u00edn","family":"Otero-Agra","sequence":"additional","affiliation":[{"name":"REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain"},{"name":"School of Nursing, Universidade de Vigo, 36001 Pontevedra, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Curr\u00e1s-Garc\u00eda","sequence":"additional","affiliation":[{"name":"REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9025-595X","authenticated-orcid":false,"given":"Felipe","family":"Fern\u00e1ndez-M\u00e9ndez","sequence":"additional","affiliation":[{"name":"REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain"},{"name":"School of Nursing, Universidade de Vigo, 36001 Pontevedra, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7247-0509","authenticated-orcid":false,"given":"Roberto","family":"Barcala-Furelos","sequence":"additional","affiliation":[{"name":"REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain"},{"name":"CLINURSID Research Group, Psychiatry Radiology Public Health Nursing and Medicine Department, Universidade de Santiago de Compostela, 15705 Galicia, Spain"},{"name":"Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela\u2014CHUS, 15706 Santiago de Compostela, Spain"},{"name":"Collaborative Research Network Orientated to Health Results (RICORS), Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin, Instituto de Salud Carlos III, 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Rodr\u00edguez-N\u00fa\u00f1ez","sequence":"additional","affiliation":[{"name":"CLINURSID Research Group, Psychiatry Radiology Public Health Nursing and Medicine Department, Universidade de Santiago de Compostela, 15705 Galicia, Spain"},{"name":"Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela\u2014CHUS, 15706 Santiago de Compostela, Spain"},{"name":"Collaborative Research Network Orientated to Health Results (RICORS), Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin, Instituto de Salud Carlos III, 28029 Madrid, Spain"},{"name":"Faculty of Nursing, Universidade de Santiago de Compostela, 15705 Santiago de Compostela, Spain"},{"name":"Paediatric Critical Intermediate and Palliative Care Section, Hospital Cl\u00ednico Universitario de Santiago de Compostela, Sergas, 15706 Santiago de Compostela, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1056\/NEJMoa0906644","article-title":"Nationwide Public-Access Defibrillation in Japan","volume":"362","author":"Kitamura","year":"2010","journal-title":"N. 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