When would you not do a head tilt technique?

There are certain instances where performing the head tilt technique would not be appropriate or necessary, such as:

1. Head or Neck Injuries: If the person has sustained a head or neck injury or is suspected to have one, any manipulation of the head should be avoided to minimize the risk of further damage.

2. Seizure Activity: During an active seizure, it's crucial to ensure airway patency without using the head tilt technique. Aggressive manipulation could worsen the seizure or cause injury.

3. Facial or Mouth Trauma: If the person has experienced facial or mouth trauma, including bleeding or severe swelling, the head tilt technique should not be performed to prevent further injury or obstruction of the airway.

4. Limited Neck Mobility: In situations where the person has restricted neck mobility, such as certain medical conditions or injuries that limit their ability to move the head or neck, performing the head tilt technique may not be feasible.

5. Difficulty Breathing: If the person is experiencing severe respiratory distress or respiratory depression, the head tilt technique may not be appropriate as it can further compromise their breathing.

6. Suspected Cervical Spine Injury: If there's a suspicion of a cervical spine injury, any unnecessary movement or manipulation of the head and neck should be avoided, including the head tilt technique.

7. Lack of Training: Performing the head tilt technique requires proper training and knowledge of its indications and contraindications. If you lack the necessary training or are uncertain about the situation, it's better to consult with a medical professional.

In any of the situations mentioned above, it's essential to prioritize patient safety and seek medical assistance if necessary.