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HEAD Emergency Helmet Removal

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Wafer_Thin_Ham
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PostPosted: 11:13 - 19 May 2009    Post subject: HEAD Emergency Helmet Removal Reply with quote

Not seen it mentioned on here, but I think it's a great idea.

What do you guys think?

https://www.superbike.co.uk/news/HEAD_emergency_helmet_removal_device_news_280539.html

It's basically a small circular saw to cut the front off to maintain the rider's airways without needing to remove the helmet and risk spinal injury.
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Paulington
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PostPosted: 11:56 - 19 May 2009    Post subject: Reply with quote

Circular saw --> face. Laughing

Very good idea, thing is most Paramedics tend to be quite skilled at helmet removal, and as long as it isn't far too small for you they are easily removed if someone/something holds your neck still.

Could give you the few critical seconds though? Thumbs Up
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garth
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PostPosted: 13:43 - 19 May 2009    Post subject: Reply with quote

Could always use an oscillating tool like a Fein Multimaster. They use similar things for cutting off casts, as it doesn't spin it's less likely to muller the skin.
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Genital Giant
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PostPosted: 13:59 - 19 May 2009    Post subject: Reply with quote

Broken back or not, I'd be shouting, f**k off and don't you dare touch my Shoei with that gaddam thing!!!
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Wafer_Thin_Ham
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PostPosted: 14:10 - 19 May 2009    Post subject: Reply with quote

Genital Giant wrote:
Broken back or not, I'd be shouting, f**k off and don't you dare touch my Shoei with that gaddam thing!!!


You must remember that since you've crashed and knocked yourself out you'll have no say in the matter, and chances are your helmet's only fit for the bin anyway.

Personally I think it's a great idea if it helps reduce the risk of spinal injuries.
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Wafer_Thin_Ham
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PostPosted: 14:11 - 19 May 2009    Post subject: Reply with quote

garth wrote:
Could always use an oscillating tool like a Fein Multimaster. They use similar things for cutting off casts, as it doesn't spin it's less likely to muller the skin.


It is similar to the above devices.

I typed it wrong in the OP. Embarassed
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Genital Giant
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PostPosted: 14:17 - 19 May 2009    Post subject: Reply with quote

Well, I must admit. I'd prolly be severely concussed & be talkin several sorts of shite anyway, and if I was the first aider I'd prolly ignore myself.
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Wafer_Thin_Ham
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PostPosted: 14:21 - 19 May 2009    Post subject: Reply with quote

Genital Giant wrote:
Well, I must admit. I'd prolly be severely concussed & be talkin several sorts of shite anyway, and if I was the first aider I'd prolly ignore myself.


If you were talking they'd have no need to maintain the airway. Wink
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Nixon
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PostPosted: 14:22 - 19 May 2009    Post subject: Reply with quote

That is absolute bullshit! if i have an airway compromised patient - any patient not just a biker - exposing the lips is not my primary goal, i need proper airway maintenance! I need to be able to open the mouth, i may need to extend or flex the neck in order to gain a natural airway position. i need to get my hands on each side of his head to manipulate the jaw and i need to immobilise his neck for any possible c spine injurys. Leaving a helmet in place is purely and simpley not an option to do anything safely!

Secondly it takes two people and less than 20 seconds to safely remove a helmet giving me FULL access where as this would take much longer, much more expensive and give me half the result.

Thirdly: the position of the head in that picture is only good for one thing, which is intubating! (putting a tube into the trachea and using it to artificially breathe for the patient) and if my patient needs intubating immediately on scene he is pretty fubard and i wont be arsing arround with a cutter when i can safely and quickly whip his helmet off and give me full flexability and scope to work in.

Airway maintenance does not stop at exposing the lips!

[/rant]
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iooi
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PostPosted: 14:29 - 19 May 2009    Post subject: Reply with quote

I think the biggest worry would be rider comming round and moving due to the cutter being close to face and having no idea what was going on.
Which would defeat the whole idea.

As the above post, as properly trained crew should be able to act as fast, in removing the helmet, as the guy with the cutter. Who then still has the problem of keeping the neck/head in place.
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Wafer_Thin_Ham
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PostPosted: 14:57 - 19 May 2009    Post subject: Reply with quote

Hmm, I see what you mean Nixon, we covered helmet removal in my first aid course, seems less chance of a major fuck up this way, and since you're cutting out the whole chin bar you can still do the chin lift stuff. However I can see what you mean. Smile
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TeddyCanuck
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PostPosted: 15:37 - 19 May 2009    Post subject: Reply with quote

Arai had already developed a removal system that requires no cutting:

https://www.youtube.com/watch?v=3pfEWsUAKLk
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Suitor_Stu
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PostPosted: 16:39 - 19 May 2009    Post subject: Reply with quote

Whilst a good idea in principle, as nixon says it would fail in practice due to the level of manipulation needed to actually open the airway in the first place. Obviously it would be somewhat useful in the situations where the victim was to be intubated or they needed to be bagged etc. but as said before too, a bit more training would probably be more beneficial in the long run.

As an aside, anyone actually used one of these oscillating saw things? We used them in Anatomy in first year and they don't half vibrate - prob not the best when a neck injury is suspected! They move rapidly, but only by a small amount, under 1cm or so, and rely on the principle that the bone (or helmet/cast etc.) is rigid and thus won't dissipate this energy as well as something soft like flesh or muscle and thus be allowed to be cut. The ones we had did have some vicious teeth on them though, so there was a good chance you could get cut by it - it just wouldn't go much below the surface...
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The999Kid
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PostPosted: 21:20 - 19 May 2009    Post subject: Reply with quote

nixon wrote:
That is absolute bullshit! if i have an airway compromised patient - any patient not just a biker - exposing the lips is not my primary goal, i need proper airway maintenance! I need to be able to open the mouth, i may need to extend or flex the neck in order to gain a natural airway position. i need to get my hands on each side of his head to manipulate the jaw and i need to immobilise his neck for any possible c spine injurys. Leaving a helmet in place is purely and simpley not an option to do anything safely!

Secondly it takes two people and less than 20 seconds to safely remove a helmet giving me FULL access where as this would take much longer, much more expensive and give me half the result.

Thirdly: the position of the head in that picture is only good for one thing, which is intubating! (putting a tube into the trachea and using it to artificially breathe for the patient) and if my patient needs intubating immediately on scene he is pretty fubard and i wont be arsing arround with a cutter when i can safely and quickly whip his helmet off and give me full flexability and scope to work in.

Airway maintenance does not stop at exposing the lips!

[/rant]


+1 from another EMT
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cal91
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PostPosted: 02:03 - 20 May 2009    Post subject: Reply with quote

TeddyCanuck wrote:
Arai had already developed a removal system that requires no cutting:

https://www.youtube.com/watch?v=3pfEWsUAKLk


Thats okay, but I can imagine it's not fitted to every helmet (maybe only high end ones) and do paramedics know how to do this process safely?
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khoock
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PostPosted: 05:46 - 20 May 2009    Post subject: Reply with quote

nixon wrote:
That is absolute bullshit! if i have an airway compromised patient - any patient not just a biker - exposing the lips is not my primary goal, i need proper airway maintenance! I need to be able to open the mouth, i may need to extend or flex the neck in order to gain a natural airway position. i need to get my hands on each side of his head to manipulate the jaw and i need to immobilise his neck for any possible c spine injurys. Leaving a helmet in place is purely and simpley not an option to do anything safely!

Secondly it takes two people and less than 20 seconds to safely remove a helmet giving me FULL access where as this would take much longer, much more expensive and give me half the result.

Thirdly: the position of the head in that picture is only good for one thing, which is intubating! (putting a tube into the trachea and using it to artificially breathe for the patient) and if my patient needs intubating immediately on scene he is pretty fubard and i wont be arsing arround with a cutter when i can safely and quickly whip his helmet off and give me full flexability and scope to work in.

Airway maintenance does not stop at exposing the lips!


+1 here too from ATLS/Gen Surgeon. Helmet comes off from the start, unless I am the only practitioner on scene.
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Louise
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PostPosted: 15:21 - 20 May 2009    Post subject: Reply with quote

Quote:
Arai had already developed a removal system that requires no cutting


He used a pair of sissors at the start Laughing

Back on topic.
Not sure how old that video is but Arai have a better system on the latest helmets.
Pull tags.
Had a play with the lid on and with the lid off. Pretty simple system.
But as someone mentioned above its high end lids at the moment IIRC plus the pull tags (even tho bright orange) cant always be seen at first without hunting for it.

https://www.youtube.com/watch?v=Zf_Rce5hlXs&feature=PlayList&p=0DD086EF1763AE9E&playnext=1&playnext_from=PL&index=2


Thats the video to go with the one further up this post

Cant find the video of the new tag system - still looking, but once you pull on the tags the cheek pads slide out with ease
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