In what scenario should an athletic helmet be removed during transport?

The scenario in which an athletic helmet should be removed during transport is when airway access is obstructed. This is a critical consideration in emergency medical situations. A helmet can significantly impede proper airway management if the patient requires assistance with breathing or if there are any signs of airway compromise. In cases where the airway is obstructed, first responders must prioritize establishing a secure airway to ensure that the patient can receive adequate oxygenation.

While other factors, such as the tightness of the helmet or the comfort of the patient, are indeed relevant, they are not as urgent as the need to provide access to the airway. If there is any indication that the helmet is interfering with breathing or if the patient is unresponsive or at risk of airway obstruction, removing the helmet takes precedence to facilitate emergency care and improve the chances of a favorable outcome.