Helmet removal in athletics: the "big debate"

C-spine management in athletics by EMS is an ongoing topic of discussion. While there is obviously more than one method to achieve the end goal, a few techniques are no longer recommended. Probably the biggest change, as discussed here, is that the helmet really does not need to be removed for transport. However, as recommended by the Interagency Task Force, the facemask should be removed if the athlete needs to be transported. In this case, regardless of the tool used to do it, the facemask must be removed completely and quickly, without causing any additional undue movement of the patient's head. Ensure that all of the retaining clips on the facemask are cut completely to allow easier access to the injured athlete.