Helmet Removal: Standing, Supine, and Prone

Resources Required:

1. Cervical Spine Immobilization Collar (C.S.I.C.)
2. Long Board

1. Standing

   • Approach patient from the front
   • Stabilize at mastoid processes and ramus of mandible
   • Have partner rock the helmet up and off of the patient's head
   • Pass stabilization to partner
   • Measure and apply collar
   • Perform rapid takedown for supine immobilization on long board

2. Supine

   • Have partner stabilize the cervical spine
   • Place fingers at occiput; other hand at chin
   • Partner removes helmet
   • Measure and apply collar

3. Prone

   • Head (wo)man crosses arms and places hands on either side of helmet
   • Lay long board next to patient, for example on the patient's right side
   • Raise patient's (right) arm, while patient is still in prone, to 180
     (straight upward, as if patient were reaching up over his/her head)
   • Logroll patient onto long board for supine immobilization