Helmet Removal

8/11/2019 Helmet Removal

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Drill of the Month Drill of the Month

Drill of the MonthDeveloped by Gloria Bizjak

Helmet Removal


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2Drill of the Month

Helmet Removal

Student Performance Objective:Given information, resources, and opportunity fordiscussion and practice, EMTs will be able to:

List helmet types, features, and purpose

List the standards that cover helmets

Explain what types of helmets are removed or left in placeafter a trauma incident and why

Demonstrate assessment steps and emergency careEMTs will follow acceptable Maryland medical

practice and Maryland Medical Protocols forEmergency Medical Providers.


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3Drill of the Month

Altered Mental Status: Assessingand Managing Seizure Patients

Overview

Helmets: Types, Features, Purpose

Helmet standards Helmets: Remove or Leave in Place

Assessment and Care Procedures

Practice


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4Drill of the Month


Types: Non-motor or sports helmets Typically open in front

Some may have chin guards

Have easy access to ABCs


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5Drill of the Month


Types: Non-motor sports helmets Horseback riding, polo

Bicycle riding, mountain biking

Inline skating, skateboarding Skiing, snowboarding

Hockey, football, lacrosse (high-impact

contact sports) Baseball


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6Drill of the Month


Types: Motor sports helmets Have different protection features than non-

motor sports helmets

Include Motorcycle riding

Motocross racing


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7Drill of the Month


Features and Purpose Outer shell: hard plastic (polystyrene)

protects head from impact of fall, crash,collision

Padding: a Styrofoam-type liningcushionsimpact

Other lining: inflatable lining, cloth comfort

liningfor better fit, snugness, comfort


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Features and Purpose Face shield, chin guard: depending on sport

and position played (football); preference(motorcycle)offers further protection tofacial areas, e.g., jaw, mouth, eyes

Chin strap: retention systemholds helmet inplace


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9Drill of the Month


Features and Purpose Other safety features: Motocross racing

requires Eject Removal Systeminflatablebladder to remove helmet, requires tools,training; helmets must have chin bar

Label: Must show DOT, Snell, ANSI, ASTM,Eject system, or other standard label

Size and types: Sized for children in some sports (bicycling)

Three types of motorcycle helmets

Full size; three-quarter size, half size


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Standards

All helmets must meet one or more of manyrigid standards

Some standards are written specifically to aparticular helmet and its use

All helmets meet standards for: Impact and penetration Retention

Surface contour

Lining

May have requirements for: Peripheral vision (motorcycles specifically)

Labeling (e.g., DOT, Snell, Eject equipped,etc.)


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Standards

U.S. Consumer Product Safety Commission(CPSC)benchmark for bicycle helmets

American Standard for Testing Materials

(ASTM) Snell Helmet testing standards

American National Standards Institute

(ANSI)


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Standards

Central European Norm (CEN)easieststandard to meet for skiing, snowboarding(better helmets meet Snell, ASTM)

National Operating Committee Standards(NOCS) for athletic equipmentindustryaccepted standard (football)

Safety Equipment Institute (football)


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Standards

Department of Transportation (DOT)required for all motorcycle helmets

American Motorcyclist Association (AMA)

requires Eject Helmet Removal System(motocross racing)


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Helmets: Remove or Leave In Place?

Leave the helmet on IF:

The patient is conscious

It does not interfere with assessing orreassessing ABCs

There are no airway or breathing problems

The helmet fits snugly and does not move

around on patients head


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Leave the helmet on IF:

The patient is wearing shoulder pads

Removal will cause further injury

The patients head can remain in a neutral,in-line position during transport on a spineboard


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Remove the helmet

Generally IF:

It is easy to remove

It has a removable chin bar and/or faceshield or just a chin strap

One other person is available to maintainhead stabilization until immobilization is

complete


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Remove the helmet Specifically IF:

You cannot assess ABCs

It interferes with providing oxygen

Removing face shield still interferes with providingoxygen

The patient is in respiratory or cardiac arrest

The helmet does not fit snugly and allows head

movement inside helmet You cannot immobilize patient on a spine board in

a neutral, in-line position

If you remove helmet, remove shoulder pads


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Assessment: Perform General PatientCare (Maryland Protocols, pp 25-34, 124, 126, 128, 132)

Size up scene, gather information

Stabilize head with helmet on Perform initial assessment

ABCs, oxygen as necessary


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Determine disability and whether to

remove or leave on helmet Check distal pulses and sensory motor

function


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Provide cervical spine immobilization if:

Patient was or is unconscious

Patient is disoriented or shows change inmental status (person, place, time)

You suspect patient of substanceabuse/use

Patient has midline cervicalpain/tenderness


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Provide cervical spine immobilization if:

Patient shows decrease of or no functionin a part of the body (focal neurologicaldeficit)

Patient has other major painful trauma Patient is less than 8 years of age


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Assessment: Perform General PatientCare (Maryland Protocols, pp 25-34, 124, 126, 128, 132) Expose patient to assess injuries

Perform focused history and physicalexam

Follow treatment protocols

Communicate with hospital or otherresponse personnel

Determine priority and mode oftransport and where (trauma center)


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Emergency care: Helmet removed (BradyEmergency Care 10th ed., pp 713-714, Brady First Responder 7thed. pp 410-411)

First rescuer stabilizes helmet and head;

second rescuer cuts chin strap Second rescuer grasps and stabilizes

mandible with one hand and occipital areawith other hand

Second rescuer grasps lower edges ofhelmet, pulls sides away from ears, slowlyslides helmet upward over patients head


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Emergency care: Helmet removed First rescuer resumes head

stabilization until immobilization is

complete Second rescuer measures and applies

collar; with assistance moves patient

to spine board; secures patient If you remove helmet, remove shoulder

pads OR

If you do not remove pads, placepadding to maintain neutral, in-line spine


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Emergency care: Helmet removed Rescuers reassess patient

Retake vital signs

Recheck injury treatments Recheck medical status

Rescuers transport/transfer/transition

patient and information


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Emergency care: Helmet left in place First rescuer stabilizes helmet and head

Second rescuer measures and applies collar;with assistance moves patient to spine

board; secures patient Rescuers reassess patient

Retake vital signs

Recheck injury treatments

Recheck medical status

Rescuers transport/transfer/transitionpatient and information


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Helmet Removal

Student Performance Objective:

Given information, resources, and opportunity fordiscussion and practice, EMTs will be able to:

List helmet types, features, and purpose

List the standards that cover helmets

Explain what types of helmets are removed or left in placeafter a trauma incident and why

Demonstrate assessment steps and emergency care

EMTs will follow acceptable Maryland medical practiceand Maryland Medical Protocols for EmergencyMedical Providers.


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Helmet Removal

Practice . . .

Review:

Helmets: Types, Features, Purpose List several types of helmets

Name several features of helmets in general

State the purpose of helmets

Helmet Standards List several of the well-known standards for helmets

Explain why you think standards were developed forthe variety of activities for which helmets should beworn


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Helmet Removal

Review: Helmets: Remove or Leave in Place

Explain when helmets should be left in place

Explain when helmets should be removed

Assessment and Care Procedures Describe the steps of assessment

Describe the steps for care when the helmet isremoved

Describe the steps for care when the helmet is left inplace

Helmet Removal

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