In the helmet scenario, the correct action is to remove the helmet.

• A. True
• B. False
• C. Only if the helmet is damaged
• D. Only if the helmet is full-face

Answer: (A)

When a patient is helmeted, airway access and ventilation are the immediate priorities. The helmet can obstruct the mouth and nose, prevent a good mask seal, and make suction or airway maneuvers difficult. Removing the helmet in this scenario clears the airway path and allows you to assess for obstruction, perform a proper airway management maneuver, and provide effective ventilation more quickly. At the same time, you keep the spine stabilized during removal to minimize movement.

The other options aren’t necessary conditions for removal because the decision here hinges on enabling airway management, not on whether the helmet is damaged or whether it’s a full-face design.