HELMET REMOVAL
Helmet removal is required in all cases where patient has a helmet still in situ.

There are many types of helmet in use with varying levels of safety technology available.

Helmet types 




Irrespective of helmet type or incorporated safety mechanisms this procedure should optimally be performed by a two EMT

Procedure – HELMET REMOVAL

Personal protective equipment’s
Assess helmet for type and determine any incorporated safety mechanisms. Look for any warning stickers, protruding tab’s or tubes, and removal instruction on the side of the helmet.
Determine and agree on any alterations to standard removal procedure with assistant.


STANDARD HELMET REMOVAL PROCEDURE
The primary EMT officer provides manual in-line stabilisation (MILS) from the front of the patient by placing one hand on the mandible and the other applying supportive pressure on the occipital region.(fig:1)
Ensure any chin strap or guard is released or cut.


The second EMT Officer gently flexes the helmet as part laterally and lifts in a steady rearward motion avoiding movement of the neck



The second EMT Officer gently flexes the helmet as part laterally and lifts in a steady rearward motion avoiding movement of the neck

  
As the helmet removed the responsibility of manual in-line stabilisation should be safely transferred to an EMT officer at the head end of the patient(fig:3) 


Continue to support the head while the primary EMT officer places a rigid cervical collar around the neck. Maintain manual in-line stabilisation until the patient to be secured completely to a spine board. (Fig:4)
Important note:
If the patient is prone, maintain manual in-line stabilisation and logroll into the lateral or supine position before removal where possible.