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it takes at least two people to remove a helmet from a patient while maintaining the patients head and neck in a neutral position one person stabilizes the patients head and neck from the head of the bed by placing one hand on either side of the helmet this position prevents slippage once the helmet strap is loose the second person loosens the helmet strap at the d-rings or fastener if the helmet has a face cover that must be removed first then they place one hand anteriorly on the patients mandible at the angle with the thumb on one side and the fingers on the contralateral side with their other hand they apply pressure from under the patients head at the occipital region taking care not to flex or extend the neck this maneuver transfers the responsibility for inline immobilization to the second person who is at the side of the bed the first person at the head of the bed then expands the helmet laterally to clear the ears and carefully removes it if the helmet provides full facial