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Combined Tool
Approach is 100% Successful for Emergency Football Face Mask Removal
Objective: To
compare the effectiveness of two techniques for removing the face mask from
used football helmets (cutting tool (FMX) - FMXtractor® or combined tool
(CT) –cordless screwdriver plus FMXtractor® as needed). Null hypotheses:
1) no differences in face mask removal success rates, removal times or difficulty
between techniques; 2) no differences in face mask removal failure, removal
time and difficulty between helmet brands. Design: Retrospective,
cross-sectional. Setting: Two NOCSAE-certified helmet reconditioning
plants. Participants: 600 used high school football
helmets. Interventions: Face mask removal was attempted
with two techniques. Main Outcome Measurements: Trial
success, removal time, rating of perceived exertion (RPE). Results: The
CT approach was 100% (300/300) successful. The FMXtractor® was 99.04%
successful (298/300). Mean removal time was 44.51±18.79s
(CT: 37.84±15.37s,
FMX: 51.21±19.54s; P<0.001). RPE
was significantly different between techniques (CT: 1.83±1.20,
FMX: 3.11±1.27; P<0.001). 57/300
(19%) CT trials required the use of the FMX. Conclusions:
The CT technique was 100% successful, faster and rated less difficult than
the FMX technique. Most (81%; 93% at Plant 2) CT trials were completed with
the screwdriver alone. Clinically, these findings are important because this
and other research has shown that compared to face mask removal with cutting
tools, screwdriver removal decreases removal time, difficulty and helmet
movement (reducing the potential for iatrogenic injury). The combined-tool
approach captures the benefits of the screwdriver while offering a contingency
for screw removal failure. Clinical Relevance: Sports
medicine professionals must be prepared with appropriate tools and techniques
to efficiently remove the face mask from an injured football player’s
helmet.
2007, Copeland AJ, Decoster
LC, Swartz EE, Gattie ER, Gale SD: Combined
Tool Approach is 100% Successful for Emergency Football Face Mask Removal.
J Athl Train (Suppl). 42(2): Suppl. This
project was partially supported by NOCSAE grant 04-05.
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