Using an AED with women: Everything you need to know

Written by

Bart de Visser

More than 15 years of experience in AEDs & cardiac safety · AEDwijzer

Published on October 28, 2025

In an emergency where someone experiences cardiac arrest, every second counts. Especially when using an AED (Automated External Defibrillator) on a woman, questions, doubts, and unjustified taboos often arise. What do you do with a bra? Can you simply remove clothing? Let's clarify the facts so you can act with confidence.

Why must the bra be removed?

It may feel uncomfortable to remove a woman's clothing, but it is medically necessary.

• Metal Hazard: Many bras contain metal underwires or clasps. Metal conducts electricity, which can deflect the AED's shock or cause burns.

• Skin Contact: For an effective shock, the electrodes must be placed directly on the bare skin. A bra simply gets in the way. Remember: Modesty must yield to survival. Saving a life always comes first.

Overcoming Hesitation: Loss of time is fatal

Research shows that bystanders are more hesitant to use an AED on women than on men, often due to fear of touching the chest area. This hesitation costs valuable time in the 6-minute window. However, a modern AED device is your best coach: it tells you exactly what to do. You don't have to be afraid of doing something wrong; the only mistake is doing nothing.

Resuscitation steps for women

In case of cardiac arrest, follow the AED instructions carefully:

1. Check the victim: Check for consciousness and breathing. No reaction? Call 112 (or have someone call).

2. Clear the chest: Cut or tear clothing and the bra. Every AED bag usually contains clothing shears.

3. Place the pads: Attach the pads directly to the skin according to the images on the device. One pad goes below the right collarbone, the other on the left side, just below the breast.

4. Follow the voice: Do not touch the victim during the analysis and deliver the shock if the AED indicates it (with a fully automatic device, this happens automatically).

Breaking taboos and saving lives together

By being well-informed, you become a powerful link in the chain of survival.

• Ensure the right tools: Make sure your AED cabinet always contains a 'safeset' with scissors, a razor, and a wipe to prepare the skin.

• Gain confidence: Take an AED training course. During the course, you will learn how to correctly perform the resuscitation steps on both men and women. Practicing with a resuscitation dummy with a female torso helps to lower the barrier.

• Reliable equipment: An AED only saves lives if the AED battery is fully charged. Our maintenance contracts ensure that your device is always in top condition.

• Know the symptoms: Heart complaints often look different in women. Would you like to know more about the unique risks? Visit vrouwenhart.nl for extensive information.

Would you like advice on which AED is most user-friendly for your environment? I'd be happy to help you make a safe choice!