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Cut the chest straps on the anterior side of the shoulder pads.
Fully immobilize the patient to the backboard with straps and head blocks.
Slide your arms between the chest and anterior shoulder pads and gain control of the C-spine on the anterior side of the head and jaw.
Remove the bilateral chin pads from the helmet. A tongue depressor works well for this.
Remove the helmet chin strap.
Begin removing the helmet, ensuring there’s good anterior C-spine control (arms will be between the chest and shoulder pads, and C-spine will be controlled holding the side of the head). With the chin pads removed, total contact is easily achieved.
The third caregiver will take control of the back of the head as the helmet is removed by the second caregiver.
Using a fourth caregiver, elevate the shoulders enough to slide the pads over the patient’s head.
After the pads are removed, lower the patient to the ground.
Apply a C-collar.