Sports First Responder Level 3 (VTQ)™
Course Content
- Course Introduction
- Human anatomy and physiology for immediate emergency care
- Assessment of casualties in immediate emergency care
- Basic airway management in emergency care
- Respiration and Breathing
- Postural Drainage
- Peak Flow
- Pocket Masks
- Pocket Mask with Oxygen
- Bag Valve Mask Equipment
- Using a BVM
- Respiratory Injuries Part Three
- Respiratory Injuries Part Four
- Choking Statistics
- Choking Recognition
- Adult Choking
- Choking in children
- Infant Choking
- Trauma from Choking
- Vulnerable People and Choking
- Basic life support and external defibrillation
- Adult CPR Introduction
- RCUK & ERC Resus Guidelines
- When to call for assistance
- Three Steps to Save a Life (2025)
- Cardiac Arrest and CPR Overview
- Adult CPR
- CPR Hand Over
- Compressions Only CPR
- Mouth to Stoma Ventilations
- Cardiac Arrest and Pregnancy
- Paediatric Airway
- Child CPR
- Adolescent CPR
- Infant CPR
- Infant Recovery Position
- Cardiac Arrest and the Drowned Patient
- Drowning
- SADS
- Effective CPR
- Improving compressions
- Improving breaths
- AED Introduction
- Types of AED Units
- AED Setup
- How to Use an AED
- Update on AED pad placement
- Using an AED on an adolescent
- Child AED
- Using an AED on an infant
- AED Maintenance
- AED Pads
- AED Batteries
- AED Troubleshooting
- AED Locations
- Community AED Units
- AED Post Resuscitation Procedures
- CPR Risks
- Advanced Decision and DNR CPR in Basic Life Support
- Recognition and Management of Life Extinct
- Post Resusitation Care
- Real time CPR scenario
- Management of medical conditions
- Support the emergency care of wounds, bleeding and burns
- The Pulse
- Capillary Refill
- The Healing Process
- Types of Bleed
- Serious Bleeding
- Ambulance Dressings
- Trauma and Standard Dressings
- Excessive Blood Loss
- Excessive Bleeding Control
- Blood Loss - A Practical Demonstration
- Embedded Objects
- Knife Wounds
- Using trauma dressings
- Amputation Treatment
- Blast Injuries
- Hemostatic Dressing or Tourniquet?
- Air Wrap Dressings
- RapidStop Tourniquet
- CAT Tourniquets
- SOFT-T tourniquet
- STAT Tourniquets
- citizenAID Tourni-Key Plus tourniquet
- Improvised Tourniquets
- Tourniquets and Where to Use Them
- Damage caused by tourniquets
- When Tourniquets Don't Work - Applying a Second
- Hemostatic Dressings
- Packing a Wound with Celox Z Fold Hemostatic Dressing
- Celox A
- Celox Granules
- Monitoring a Patient
- Coagulopathy
- Burns and burn kits
- Treating a burn
- Management of injuries
- Pelvic Injuries
- Spinal Injuries
- SAM Pelvic Sling
- Box Splints
- Spinal Injury
- Stabilising the spine
- Spinal Recovery Position
- Introduction to Spinal Boards
- The spinal board
- Using the Spinal Board
- The Scoop Stretcher
- Using the scoop stretcher
- Cervical collars
- Vertical C-Spine Immobilisation
- Joint examination
- Adult fractures
- Types of fracture
- Horizontal Slings
- Management of trauma
- Elevated Slings
- Lower limb immobilisation
- Elevation Techniques
- Helmet Removal
- Different Types of Helmets
- The Carry Chair
- Applying Plasters
- Strains and Sprains and the RICE procedure
- Instant Cold Packs
- Instant Heat Packs
- Eye Injuries
- Electrical Injuries
- Foreign objects in the eye, ears or nose
- Nose bleeds
- Bites and stings
- Chest Injuries
- Foxseal chest seals
- Abdominal Injuries
- Treating Snake Bites
- Types of head injury and consciousness
- Dislocated Shoulders and Joints
- Other Types of Injury
- Dental Injuries
- Recognition and management of anaphylaxis
- What is Anaphylaxis
- Living with Anaphylaxis
- Minor allergic reactions
- Common causes of allergic reactions
- What is an Auto-Injector?
- Jext®
- EpiPen®
- Storage and disposal
- Who prescribes auto injectors?
- Checking Auto Injector and Expiry Dates
- Signs and Symptoms of Anaphylaxis
- Giving a second dose
- Biphasic Anaphylactic Response
- Administration of oxygen therapy
- What are Medical Gasses
- Oxygen
- When Oxygen is Used
- Contra Indications Of Oxygen
- Hazards of using oxygen
- Hypoxia
- BOC Oxygen Kit
- The BOC Cylinder
- Storage Of Oxygen
- PIN INDEX cylinder
- Oxygen Regulators
- Standard oxygen cylinder
- Transport of Cylinders
- How long does an Oxygen cylinder last?
- Oxygen and Anaphylaxis
- Demand Valves and MTV's
- Non Rebreather Mask
- Nasal Cannula
- Medical gas storage
- Course Summary and your Practical Part
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Helmet Removal
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Helmet removal. Helmet removal has to be done by two trained people. The biggest risk that we have to all motorcyclists, or anybody wearing a helmet, is the chin strap. If we don't remove the chin strap, it pulls the tongue into the back of the throat and occludes the airway. Most of them have a nice easy system where you lift the red tab and the chin strap will release quite easily. That will take the tongue off the back of the throat or at least assist with taking the tongue from the back of the throat. The next thing we do is lift the visor so as we can actually get access into the patient, they can see us and we can see what's going on. This particular casualty has a pair of glasses on. So at this point, gently remove the glasses out of the way because they are just going to be a problem as we take the helmet off. The next thing we do is we take a firm grip of the helmet low down, roughly where the straps are fixed to the helmet itself and bring the head into what we call neutral alignment, putting slight upward traction but bringing the head straight in line with the spine.Next, we get a second pair of hands onto the patient and what we are going to do now is by keeping the head and neck still, we are going to remove the helmet vertical. So, when I rock the helmet back, the hands replace where the helmet has come from. So it is a rocking motion, front to back and the hands go in to match the position. Back to front, front to back. And working as a team, we replace the hand positions with the helmet or the helmet with the hand position until we come loose. As soon as we come loose, we need to tell each other because at the last the minute you will get a heavy head and if you're not ready for it, it tends to drop, will go towards the floor and we want it to stay in the position it comes off. So the helmet is removed, placed on the floor and then from my position, I take C-spine immobilisation and that allows Mike to release his grips.Hands coming off.At this point, you will notice if Mike puts his hand on the back of the patient's head, the head is still in the position it came away from the helmet. It has not been allowed to go to the floor and you will now note if I actually take it to the floor, how much distance the head and neck will travel. We want to avoid this at all costs because the idea of removing it carefully is to keep it in the position it came out of the helmet itself and not allow any movement, flexion, lifting or lowering. Some helmets will have a flip-up chin piece, that makes me moving the helmet far, far easier. We still take control of the helmet in the same position but then your number two, who's helping you, will remove the chin piece using the little button on the front of the helmet. Nice and carefully, give it a good pull, it'll go. Now, as you can see, removing the helmet is exactly the same process but this time far, far easier to do because there's no chin piece in the way. Okay?Yeah.We still rock, we still tip and rock and tip until we come loose. Are you ready?Pause. Okay, got the head.Okay. The head is now free, the helmet comes off and we repeat the process. I have the head.The helmet is coming off.And we have exactly the same position we did before but this time with a face piece that lifts forward on a helmet. These are becoming more and more common these days. This is an example of an expensive helmet that was involved in a motion cycle crush at 120 miles an hour. The patient survived with only minor injuries but you can see the damage that occurred to the helmet when they hit the road. The internals have all come loose and broken, the jaw piece is fractured, the visor has smashed away and the chin strap had to be cut away as we have just demonstrated with helmet removal. You can read the wreckage on the helmet to see actually what part of the helmet hit the road surface and what damage was done to the helmet. The helmet should always travel to the hospital with the patient because the consultants can then see the impact zone, and the area on the brain and the skull, that the impact actually first initially hit. Reading the wreckage on a car is exactly the same as reading the wreckage on a motorcycle helmet.
Helmet Removal Procedure and Safety Tips
Risks Associated with Helmet Removal
Chin Strap Concerns: Removing helmets must involve two trained individuals to mitigate the risk of airway obstruction caused by the chin strap.
Step-by-Step Helmet Removal
1. Chin Strap Release
Technique: Lift the red tab of the chin strap to release it easily, aiding in airway clearance.
2. Visor Adjustment
Procedure: Lift the visor for better access to the patient's face and enhanced visibility during the removal process.
3. Glasses Removal
Precaution: Gently remove glasses to prevent interference during helmet removal.
4. Head Stabilization
Technique: Securely grip the helmet low down, aligning the head with the spine to maintain neutral alignment.
5. Coordinated Removal
Procedure: With one person stabilizing the head, another removes the helmet in a coordinated rocking motion, ensuring minimal movement of the head and neck.
6. Chin Piece Removal (If Applicable)
Method: If the helmet has a flip-up chin piece, carefully remove it before helmet removal, facilitating the process.
Post-Removal Considerations
Helmet Examination
Assessment: Inspect the helmet for damage, noting impact zones and potential injuries. The helmet should accompany the patient to the hospital for further evaluation by consultants.
Conclusion
Helmet removal requires careful coordination and attention to detail to prevent additional injury to the patient's head and neck. Proper technique ensures the safe removal of the helmet while maintaining head and neck stability.
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