Methods and system for guiding a rescuer in placement of a defibrillation electrode may include initializing one or more cameras disposed on the defibrillation electrode, and capturing image information via the one or more cameras. Each image in a series of images may be acquired by the cameras after a set time interval. The method may include determining a separation distance between the defibrillation electrode and the chest of the patient and comparing the separation distance to a threshold distance. The method may further include determining whether the separation distance is below the threshold distance and, once the separation distance is below the threshold distance, determining a current location of the defibrillation electrode based on the series of images, and providing positioning feedback via at least one output device, wherein the positioning feedback includes instructions to move the defibrillation electrode toward a preferred location on the patient.