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Drill of the Month Drill of the Month Developed by Gloria Bizjak Helmet Removal.

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Presentation on theme: "Drill of the Month Drill of the Month Developed by Gloria Bizjak Helmet Removal."— Presentation transcript:

1 Drill of the Month Drill of the Month Developed by Gloria Bizjak Helmet Removal

2 2 Drill of the Month Helmet Removal Student Performance Objective: Student Performance Objective: Given information, resources, and opportunity for discussion and practice, EMTs will be able to: Given information, resources, and opportunity for discussion and practice, EMTs will be able to: List helmet types, features, and purpose List helmet types, features, and purpose List the standards that cover helmets List the standards that cover helmets Explain what types of helmets are removed or left in place after a trauma incident and why Explain what types of helmets are removed or left in place after a trauma incident and why Demonstrate assessment steps and emergency care Demonstrate assessment steps and emergency care EMTs will follow acceptable Maryland medical practice and Maryland Medical Protocols for Emergency Medical Providers. EMTs will follow acceptable Maryland medical practice and Maryland Medical Protocols for Emergency Medical Providers.

3 3 Drill of the Month Altered Mental Status: Assessing and Managing Seizure Patients Overview Overview Helmets: Types, Features, Purpose Helmets: Types, Features, Purpose Helmet standards Helmet standards Helmets: Remove or Leave in Place Helmets: Remove or Leave in Place Assessment and Care Procedures Assessment and Care Procedures Practice Practice

4 4 Drill of the Month Helmets: Types, Features, Purpose Types: Non-motor or sports helmets Types: Non-motor or sports helmets –Typically open in front –Some may have chin guards –Have easy access to ABCs

5 5 Drill of the Month Helmets: Types, Features, Purpose Types: Non-motor sports helmets 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

6 6 Drill of the Month Helmets: Types, Features, Purpose Types: Motor sports helmets Types: Motor sports helmets –Have different protection features than non- motor sports helmets –Include  Motorcycle riding  Motocross racing

7 7 Drill of the Month Helmets: Types, Features, Purpose Features and Purpose Features and Purpose –Outer shell: hard plastic (polystyrene)— protects head from impact of fall, crash, collision –Padding: a Styrofoam-type lining—cushions impact –Other lining: inflatable lining, cloth comfort lining—for better fit, snugness, comfort

8 8 Drill of the Month Helmets: Types, Features, Purpose Features and Purpose Features and Purpose –Face shield, chin guard: depending on sport and position played (football); preference (motorcycle)—offers further protection to facial areas, e.g., jaw, mouth, eyes –Chin strap: retention system—holds helmet in place

9 9 Drill of the Month Helmets: Types, Features, Purpose Features and Purpose Features and Purpose –Other safety features: Motocross racing requires Eject Removal System—inflatable bladder 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

10 10 Drill of the Month Standards All helmets must meet one or more of many rigid standards All helmets must meet one or more of many rigid standards Some standards are written specifically to a particular helmet and its use Some standards are written specifically to a particular helmet and its use All helmets meet standards for: All helmets meet standards for: –Impact and penetration –Retention –Surface contour –Lining May have requirements for: May have requirements for: –Peripheral vision (motorcycles specifically) –Labeling (e.g., DOT, Snell, Eject equipped, etc.)

11 11 Drill of the Month Standards U.S. Consumer Product Safety Commission (CPSC)—benchmark for bicycle helmets U.S. Consumer Product Safety Commission (CPSC)—benchmark for bicycle helmets American Standard for Testing Materials (ASTM) American Standard for Testing Materials (ASTM) Snell Helmet testing standards Snell Helmet testing standards American National Standards Institute (ANSI) American National Standards Institute (ANSI)

12 12 Drill of the Month Standards Central European Norm (CEN)—easiest standard to meet for skiing, snowboarding (better helmets meet Snell, ASTM) Central European Norm (CEN)—easiest standard to meet for skiing, snowboarding (better helmets meet Snell, ASTM) National Operating Committee Standards (NOCS) for athletic equipment—industry accepted standard (football) National Operating Committee Standards (NOCS) for athletic equipment—industry accepted standard (football) Safety Equipment Institute (football) Safety Equipment Institute (football)

13 13 Drill of the Month Standards Department of Transportation (DOT)— required for all motorcycle helmets Department of Transportation (DOT)— required for all motorcycle helmets American Motorcyclist Association (AMA)— requires Eject Helmet Removal System (motocross racing) American Motorcyclist Association (AMA)— requires Eject Helmet Removal System (motocross racing)

14 14 Drill of the Month Helmets: Remove or Leave In Place? Leave the helmet on IF : Leave the helmet on IF : –The patient is conscious –It does not interfere with assessing or reassessing ABCs –There are no airway or breathing problems –The helmet fits snugly and does not move around on patient’s head

15 15 Drill of the Month Helmets: Remove or Leave In Place? Leave the helmet on IF: Leave the helmet on IF: –The patient is wearing shoulder pads –Removal will cause further injury –The patient’s head can remain in a neutral, in-line position during transport on a spine board

16 16 Drill of the Month Helmets: Remove or Leave In Place? Remove the helmet Remove the helmet –Generally IF:  It is easy to remove  It has a removable chin bar and/or face shield or just a chin strap  One other person is available to maintain head stabilization until immobilization is complete

17 17 Drill of the Month Helmets: Remove or Leave In Place? Remove the helmet Remove the helmet –Specifically IF:  You cannot assess ABCs  It interferes with providing oxygen  Removing face shield still interferes with providing oxygen  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

18 18 Drill of the Month Assessment and Care Procedures Assessment: Perform General Patient Care (Maryland Protocols, pp 25-34, 124, 126, 128, 132) Assessment: Perform General Patient Care (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

19 19 Drill of the Month Assessment and Care Procedures Assessment: Perform General Patient Care (Maryland Protocols, pp 25-34, 124, 126, 128, 132) Assessment: Perform General Patient Care (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

20 20 Drill of the Month Assessment and Care Procedures Assessment: Perform General Patient Care (Maryland Protocols, pp 25-34, 124, 126, 128, 132) Assessment: Perform General Patient Care (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 in mental status (person, place, time)  You suspect patient of substance abuse/use  Patient has midline cervical pain/tenderness

21 21 Drill of the Month Assessment and Care Procedures Assessment: Perform General Patient Care (Maryland Protocols, pp 25-34, 124, 126, 128, 132) Assessment: Perform General Patient Care (Maryland Protocols, pp 25-34, 124, 126, 128, 132) –Provide cervical spine immobilization if:  Patient shows decrease of or no function in a part of the body (focal neurological deficit)  Patient has other major painful trauma  Patient is less than 8 years of age

22 22 Drill of the Month Assessment and Care Procedures Assessment: Perform General Patient Care (Maryland Protocols, pp 25-34, 124, 126, 128, 132) Assessment: Perform General Patient Care (Maryland Protocols, pp 25-34, 124, 126, 128, 132) –Expose patient to assess injuries –Perform focused history and physical exam –Follow treatment protocols –Communicate with hospital or other response personnel –Determine priority and mode of transport and where (trauma center)

23 23 Drill of the Month Assessment and Care Procedures Emergency care: Helmet removed (Brady Emergency Care 10th ed., pp , Brady First Responder 7th ed. pp ) Emergency care: Helmet removed (Brady Emergency Care 10th ed., pp , Brady First Responder 7th ed. pp ) –First rescuer stabilizes helmet and head; second rescuer cuts chin strap –Second rescuer grasps and stabilizes mandible with one hand and occipital area with other hand –Second rescuer grasps lower edges of helmet, pulls sides away from ears, slowly slides helmet upward over patient’s head

24 24 Drill of the Month Assessment and Care Procedures Emergency care: Helmet removed 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, place padding to maintain neutral, in-line spine position

25 25 Drill of the Month Assessment and Care Procedures Emergency care: Helmet removed Emergency care: Helmet removed –Rescuers reassess patient  Retake vital signs  Recheck injury treatments  Recheck medical status –Rescuers transport/transfer/transition patient and information

26 26 Drill of the Month Assessment and Care Procedures Emergency care: Helmet left in place 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/transition patient and information

27 27 Drill of the Month Helmet Removal Student Performance Objective: Given information, resources, and opportunity for discussion and practice, EMTs will be able to: List helmet types, features, and purpose List helmet types, features, and purpose List the standards that cover helmets List the standards that cover helmets Explain what types of helmets are removed or left in place after a trauma incident and why Explain what types of helmets are removed or left in place after a trauma incident and why Demonstrate assessment steps and emergency care Demonstrate assessment steps and emergency care EMTs will follow acceptable Maryland medical practice and Maryland Medical Protocols for Emergency Medical Providers.

28 28 Drill of the Month Helmet Removal Practice... Practice... Review: Review: Helmets: Types, Features, Purpose Helmets: Types, Features, Purpose –List several types of helmets –Name several features of helmets in general –State the purpose of helmets Helmet Standards Helmet Standards –List several of the well-known standards for helmets –Explain why you think standards were developed for the variety of activities for which helmets should be worn

29 29 Drill of the Month Helmet Removal Review: Review: Helmets: Remove or Leave in Place Helmets: Remove or Leave in Place –Explain when helmets should be left in place –Explain when helmets should be removed Assessment and Care Procedures Assessment and Care Procedures –Describe the steps of assessment –Describe the steps for care when the helmet is removed –Describe the steps for care when the helmet is left in place


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