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Public Access Defibrillator (PAD) Program Notification to Emergency Medical Services Agency Organization/Company: Address: Street City Zip Code Telephone: Site Defibrillation Coordinator: Name Please
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Public access defibrillator pad is a device designed to deliver an electric shock to the heart in order to stop an extremely rapid, irregular heartbeat and restore the normal heart rhythm.
Certain public places such as schools, airports, and sports facilities are required to have and maintain public access defibrillator pads.
The public access defibrillator pad form can typically be filled out online or submitted in paper form with information such as the location of the defibrillator, maintenance records, and emergency contact information.
The purpose of public access defibrillator pads is to provide life-saving treatment in the event of sudden cardiac arrest by allowing bystanders to administer a shock before emergency services arrive.
Information such as the location of the defibrillator, maintenance records, expiration dates of pads and batteries, and emergency contact information must be reported on the public access defibrillator pad form.
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