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Sun, 1 Jun 2003 10:13:08 -0700

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Martyn-

I welcome your disagreement,=20

Not to suggest that only one technique is correct...........I teach the =
pure manual removal method,  the "saw cut to the front piece and spread" =
method, how to pad a backboard and secure the helmet with head inside to =
a the board, and how to cut a helmet off utilizing a vacuum cast saw and =
spreader. =20

I still approach ANY helmet removal with great trepidation, for this is =
truly one instance where leaving well enough alone and taping the =
patient and helmet to a backboard may be the best route to take.

Tho I do not participate in any sanctioned racing events, I frequently =
attend the crumpled messes left in the wake of the spirited amateur =
activities on our regions highways.  I have seen more than a few bikers =
injured and have attended several with serious sensory / motor deficits =
secondary to cervical spinal injuries .  I left two of those in their =
helmets.  Both were wearing quality full faced helmets and I decided the =
motion introduced by removal would be more than I would like.  A lot of =
padding and duct tape secured them nicely to the boards, and the ER even =
left them in their helmets till the Cat-Scan was completed.  The =
Orthopedic Doc wound up putting both of these chaps in SOMI =
braces..........(just short of a "halo" brace) and didn't argue with my =
field management.=20

I guess I am just an old scaredy-cat sometimes.  I still leave broken or =
sprained ankles in their shoes as well............

TD EMTP

----- Original Message -----=20
  From: Martyn Hodson=20
  To: trauma-list@trauma.org=20
  Sent: Sunday, June 01, 2003 9:24 AM
  Subject: Re: Helmet removal

  ----- Original Message -----
  From: Terry Dinerman
  To: trauma-list@trauma.org
  Sent: Sunday, June 01, 2003 3:42 PM
  Subject: Re: Helmet removal

  Matt-

  A wire saw (camping dept - Wal-Mart) will remove the front of a full =
face
  helmet quite handily, at low cost.   BUT --------

  Unless there are compelling reasons to do so (imminent airway collapse =
is
  the top reason...) leave the helmet in place and let the ER doc remove =
it
  with a cast saw........

  TD

  disagree completely

  my SO is a qualified ACU sector marshal ( i.e. manages a sectoor of a =
trakc
  for motorcycle racers) as well as someoen who works to the the FR =
levle  in
  EMS provision - the most approrpaite way to remove a full face helmet =
is the
  well described manual technique

  at least one major EMS provider i nthe uK has banned use of th 'hat's =
off'
  device , suggesting that the approrpaite technique is the well known =
and
  well described manual method

  however a power screw driver is very useful for American football and =
ice
  hockry lids

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<BODY bgColor=3D#ffffff>
<DIV><FONT face=3D"Comic Sans MS">Martyn-</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">I welcome your disagreement, =
</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">Not to suggest that only one technique =
is=20
correct...........I teach the pure manual removal method,&nbsp; the "saw =
cut to=20
the front piece and spread" method,&nbsp;how to pad a backboard and =
secure the=20
helmet with head inside to a the board, and how to cut a helmet off =
utilizing a=20
vacuum&nbsp;cast saw and spreader.&nbsp; </FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">I&nbsp;still approach ANY helmet =
removal with=20
great trepidation, for this is truly one instance where leaving well =
enough=20
alone and taping the patient and helmet to a backboard may be the best =
route to=20
take.</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">Tho I do not participate in any =
sanctioned=20
racing events, I frequently attend the crumpled messes left in the wake =
of the=20
spirited amateur activities on our regions highways.&nbsp; I have seen =
more than=20
a few bikers injured and have attended several with serious sensory / =
motor=20
deficits secondary to cervical spinal injuries .&nbsp; I left two of =
those in=20
their helmets.&nbsp; Both were wearing quality full faced helmets and I =
decided=20
the motion introduced by removal would be more than I would like.&nbsp; =
A lot of=20
padding and duct tape secured them nicely to the boards, and the ER even =
left=20
them in their helmets till the Cat-Scan was completed.&nbsp; The =
Orthopedic Doc=20
wound up putting both of these chaps in SOMI braces..........(just short =
of a=20
"halo" brace) and didn't argue with my field =
management.&nbsp;</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">I guess I am just an old scaredy-cat=20
sometimes.&nbsp; I still leave broken or sprained ankles in their shoes =
as=20
well............</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS">TD EMTP</FONT></DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"Comic Sans MS"></FONT>&nbsp;</DIV>
<DIV>----- Original Message ----- </DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A title=3Dmartyn@greymafia.freeserve.co.uk=20
  href=3D"mailto:martyn@greymafia.freeserve.co.uk">Martyn Hodson</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
title=3Dtrauma-list@trauma.org=20
  href=3D"mailto:trauma-list@trauma.org">trauma-list@trauma.org</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Sunday, June 01, 2003 =
9:24 AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Helmet =
removal</DIV>
  <DIV><BR></DIV><BR>----- Original Message -----<BR>From: Terry =
Dinerman<BR>To:=20
  <A =
href=3D"mailto:trauma-list@trauma.org">trauma-list@trauma.org</A><BR>Sent=
:=20
  Sunday, June 01, 2003 3:42 PM<BR>Subject: Re: Helmet=20
  removal<BR><BR><BR>Matt-<BR><BR>A wire saw (camping dept - Wal-Mart) =
will=20
  remove the front of a full face<BR>helmet quite handily, at low=20
  cost.&nbsp;&nbsp; BUT --------<BR><BR>Unless there are compelling =
reasons to=20
  do so (imminent airway collapse is<BR>the top reason...) leave the =
helmet in=20
  place and let the ER doc remove it<BR>with a cast=20
  saw........<BR><BR>TD<BR><BR>disagree completely<BR><BR>my SO is a =
qualified=20
  ACU sector marshal ( i.e. manages a sectoor of a trakc<BR>for =
motorcycle=20
  racers) as well as someoen who works to the the FR levle&nbsp; =
in<BR>EMS=20
  provision - the most approrpaite way to remove a full face helmet is=20
  the<BR>well described manual technique<BR><BR>at least one major EMS =
provider=20
  i nthe uK has banned use of th 'hat's off'<BR>device , suggesting that =
the=20
  approrpaite technique is the well known and<BR>well described manual=20
  method<BR><BR>however a power screw driver is very useful for American =

  football and ice<BR>hockry lids<BR><BR><BR>---<BR>Outgoing mail is =
certified=20
  Virus Free.<BR>Checked by AVG anti-virus system (<A=20
  =
href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2003-June/3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: =
6.0.483=20
  / Virus Database: 279 - Release Date:=20
  19/05/2003<BR><BR><BR><BR>--<BR>trauma-list : TRAUMA.ORG<BR>To change =
your=20
  settings or unsubscribe visit:<BR><A=20
  =
href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2003-June/3D"http://www.trauma.org/traumalist.html">http://www.trauma.org/trau=
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