What is the backboard primarily used for in extrication?

• A. To immobilize the spine and body for safe transport
• B. To provide comfort for the patient during removal
• C. To support the dashboard during extraction
• D. To cushion the patient during movement

Answer: (A)

The backboard is used to immobilize the spine and body so movement is minimized during removal and transport. In a crash, there may be spinal injuries that aren’t obvious, and any twisting or bending during extrication can worsen them. A rigid backboard, used with a cervical collar and properly tightened straps, keeps the head, neck, and torso in a neutral alignment and prevents motion in all directions. This stability is what makes it the best tool for safe transfer from the vehicle to a stretcher. It’s not about comfort or padding, and it doesn’t serve to support a dashboard or cushion during movement.