Which statement best describes how to position a victim for transfer to a backboard during an unconscious move?

• A. Keep the spine straight
• B. Bend the spine to fit the board
• C. Twist the body to align with the board
• D. Move quickly without planning

Answer: (A)

Maintaining a straight, neutral spine during transfer to a backboard is essential because any bending, twisting, or abrupt movement can worsen an undiscovered spinal injury. Treat the spine as a single unit and move the patient so the head, neck, and torso stay aligned in a straight line from head to hips. Use a coordinated technique, like a log-roll, to slide or roll the unconscious patient onto the backboard without creating flexion, extension, or rotation of the spine. Keep the head in line with the body, support the neck, and secure the patient to the board to prevent any secondary movement. Rushing or twisting or bending to fit the board increases risk, so the goal is careful, planned motion that preserves alignment throughout the transfer.