In the two-person helmet removal technique, which statement is true?

• A. The helmet removal should be avoided if possible
• B. The helmet must always remain in place
• C. The helmet may be removed without compromising c-spine stabilization if performed correctly
• D. The helmet can be removed by a single rescuer without stabilizing the neck

Answer: (C)

Maintaining neck and spine alignment while removing a helmet with two rescuers is achievable when the technique is done correctly. One rescuer stabilizes the head and neck in a neutral, inline position, while the other frees the helmet’s straps and assists in sliding the helmet off without twisting or bending the neck. The helmet can be removed in this coordinated way to gain airway access or patient care needs while the head remains supported and immobilized, then cervical stabilization continues as the patient is moved to a backboard.

This is why the statement is true: removal does not automatically compromise spinal stabilization if the team maintains inline immobilization throughout the process. The helmet isn’t always left in place, and it isn’t safely done by a single rescuer without stabilizing the neck.