When a football player has a suspected head or neck injury, when and h
ow to remove the football helmet become critical issues. Protocols dif
fer; however, the National Collegiate Athletic Association guidelines,
which state that the helmet should only be removed on the field under
very special circumstances, are appropriate. An understanding of the
technologically advanced design and tight fit of modem football helmet
s will help guide medical personnel through each step of the helmet re
moval process.