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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
8/11/2019 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
Helmets: Types, Features, Purpose
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
Helmets: Types, Features, Purpose
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
Helmets: Types, Features, Purpose
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
Helmets: Types, Features, Purpose
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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8Drill of the Month
Helmets: Types, Features, Purpose
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
Helmets: Types, Features, Purpose
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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10Drill of the Month
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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11Drill of the Month
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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12Drill of the Month
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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13Drill of the Month
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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14Drill of the Month
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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15Drill of the Month
Helmets: Remove or Leave In Place?
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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16Drill of the Month
Helmets: Remove or Leave In Place?
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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17Drill of the Month
Helmets: Remove or Leave In Place?
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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18Drill of the Month
Assessment and Care Procedures
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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19Drill of the Month
Assessment and Care Procedures
Assessment: Perform General PatientCare (Maryland Protocols, pp 25-34, 124, 126, 128, 132)
Determine disability and whether to
remove or leave on helmet Check distal pulses and sensory motor
function
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20Drill of the Month
Assessment and Care Procedures
Assessment: Perform General PatientCare (Maryland Protocols, pp 25-34, 124, 126, 128, 132)
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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21Drill of the Month
Assessment and Care Procedures
Assessment: Perform General PatientCare (Maryland Protocols, pp 25-34, 124, 126, 128, 132)
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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22Drill of the Month
Assessment and Care Procedures
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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23Drill of the Month
Assessment and Care Procedures
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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24Drill of the Month
Assessment and Care Procedures
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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25Drill of the Month
Assessment and Care Procedures
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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26Drill of the Month
Assessment and Care Procedures
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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27Drill 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 care
EMTs will follow acceptable Maryland medical practiceand Maryland Medical Protocols for EmergencyMedical Providers.
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28Drill of the Month
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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29Drill of the Month
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