The recommended number of rescuers to remove a helmet from an unresponsive rider is:

• A. Two trained rescuers.
• B. One rescuer.
• C. Three rescuers.
• D. No rescuer; leave helmet.

Answer: (A)

When a rider is unresponsive and wearing a helmet, the priority is to protect the spine while still allowing airway assessment and management. Removing the helmet safely requires in-line cervical spine stabilization maintained by a second person. One rescuer cannot reliably stabilize the head and neck while also removing the helmet without risking movement of the spine, which could worsen an injury. Having two trained rescuers allows one to keep the head and neck aligned while the other carefully frees and removes the helmet, preserving spinal integrity and giving access to the airway as needed. Using three rescuers can create unnecessary coordination challenges and delay care, and leaving the helmet on can impede airway management unless removal is truly unnecessary.