North Carolina EMT State Practice Exam

When should a helmet be removed for a patient with a cerebral injury?

1. Always

2. Only if unable to assess airway

3. Only for comfort

4. Immediately upon arrival

The correct answer is: Only if unable to assess airway

Removing a helmet from a patient with a suspected cerebral injury is a critical decision that prioritizes the patient's airway, breathing, and circulation. The guideline to only remove the helmet if the airway cannot be adequately assessed emphasizes the need for maintaining spinal stability while ensuring proper airway management. The rationale for this approach is that a helmet can provide significant protection and stabilization to the head and neck. If a patient is conscious and their airway is clear, it is often advisable to leave the helmet in place to prevent any potential movement that could exacerbate a spinal injury. However, if the patient's airway is compromised, immediate action is required to secure it, which may necessitate helmet removal. By focusing on the assessment of the airway before making any changes to the patient's equipment, EMTs can ensure they are providing the safest and most effective care, mitigating the risks associated with potential neck and spinal injuries while still addressing any critical life threats. This balance of care is essential in emergency situations, particularly when neurological injuries are suspected.