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Manual Two Person technique Manual Two Person technique Steps: Stand at the head of the bed and have your assistant stand to the side of the patient Your assistant should have access to the head and neck Place one of your assistants hands behind the occiput and upper neck Place the other assistants hand under the patients mandible with the chin resting in the first webspace and fingers at the angle of the mandible Place the heels of both your hands at the side of the helmet and insert your fingers into the space between the helmet and patients face to create space Remove the helmet by pulling along the plane of the head Avoid hyperextending the neck After removing the helmet, use your hands to hold in-line immobilization while your assistant placed the cervical collar Troubleshooting: If the lower part of the helmet is stuck at the level of the nose, tilt the helmet posteriorly and pull until you clear the nose

Often times strikes will occur shortly after ripping your bait free from the grass.