If a manual defibrillator with a trained rescuer is not immediately accessible, automated external defibrillators should be utilized in newborns with suspected cardiac arrest. If a pediatric-pad AED is not accessible, an adult-pad AED should be utilized. The decision to use an AED on an infant should be made by the caregiver if there is no other adult present at time of event. The American Heart Association recommends that all children over 1 year old who are able to do so should learn how to use a defibrillator. Young children may not be able to understand what is happening during cardiopulmonary resuscitation (CPR) and may fear the shocks delivered by a defibrillator. Parents or caregivers should teach children how to use a defibrillator before they become too old to remember. The American Heart Association also recommends that everyone know how to perform CPR. Children as young as 5 years old can learn CPR and it is important for them to know how to act if someone encounters a sudden cardiac arrest episode. Children who learn how to perform CPR will be more likely to help a friend or family member in need of emergency care.