During rapid extrication, how should the backboard be positioned as it is removed from the water?

During rapid extrication, how should the backboard be positioned as it is removed from the water?

• A. Vertical
• B. Near-horizontal
• C. Diagonal
• D. Upside down

Answer: (B)

Maintaining spinal immobilization while lifting the casualty from the water is the priority. Keeping the backboard nearly horizontal as you remove them helps preserve a straight, stable alignment of the head, neck, and spine, reducing any movement that could worsen a spinal injury and helping keep the airway protected. A near-horizontal orientation also minimizes drag and makes it easier to slide the person onto a treatment surface without twisting. In contrast, a vertical, diagonal, or upside-down position increases the risk of spine movement, rotation, or airway compromise during extraction.

Maintaining spinal immobilization while lifting the casualty from the water is the priority. Keeping the backboard nearly horizontal as you remove them helps preserve a straight, stable alignment of the head, neck, and spine, reducing any movement that could worsen a spinal injury and helping keep the airway protected. A near-horizontal orientation also minimizes drag and makes it easier to slide the person onto a treatment surface without twisting. In contrast, a vertical, diagonal, or upside-down position increases the risk of spine movement, rotation, or airway compromise during extraction.