Which of the following is the MOST appropriate device to use when immobilizing a patient with a suspected spinal injury?

• A. Long Backboard
• B. Stretcher With Head Immobilization
• C. Vacuum Mattress
• D. Soft Board

Answer: (A)

Immobilizing the spine requires a rigid, full-length device that keeps the entire spine in a single, neutral position during handling and transport. A long backboard provides solid, rigid support from head to hips, allowing securement with straps to minimize movement of the chest, pelvis, and limbs while keeping the head and neck aligned with the spine. This level of control is essential when a spinal injury is suspected, because even small motions can worsen a spinal cord injury during movement.

A vacuum mattress conforms to the body and can improve comfort and reduce pressure points, but it does not offer the same rigid control as a backboard, so it’s less effective at preventing spinal motion during transfer. A soft board lacks the rigidity needed to maintain spinal alignment, increasing the risk of movement. A stretcher with head immobilization helps stabilize the head, but without the rigid support of the entire spine, the spine can still move during transport.