b'Removal of HelmetsChapter hapterHelmets should only be removed if absolutely necessary. If a full-face helmet is worn then this should only be removed if the patient is unconscious, the airway is blocked, or airway clearance is uncertain and likely to be compromised. Where possible, it is preferable for accident patients to remove their own helmet.It is best for two people to undertake helmet removalone to steady the head andneck, and the other to gently remove the helmet. The manoeuvre should be carried out by a single rescuer, only if no-one is available to assist. Gently support the head and neck, avoiding unnecessary movement. Carefully position the accident patient on their back if conscious, or in the recovery position for airway management. Remove any detachable visor, or glasses. The helmet must be manoeuvred over the nose & ears while the head and neck are held firm and rigid.Carefully position the patient on their back. Stabilise the helmet/head byplacing your hands on each side ofthe helmet, with fingers on thepatients jaw to prevent movement.Unfasten the helmet chin strap. Cutting may be the most efficient method. Support the head and neck with one hand and carefully place your fingersunder the helmet rim. Hold the jaw firm between yourthumb and fingers. Pull the sides of the helmet outwards to loosen the internal grip over the earsand side of the head.Keep the helmet sides apart and tilt it upwards at the front, to clear the chin and nose. Thesecond person should support the head from falling back when the helmet is removed, thereby avoiding any head or neck movement. Tilt the helmet forward to clear the back of the head and carefully lift it off, avoiding any head orneck movement.After removal of the helmet, place your hands on either side of the patients head, with your palms over the ears. This will help prevent head/neck movement.Road Accidents 237'