Ashort spineboard is primarily used in extrication of sitting victims, especially in automobile wrecks (where it would be difficult to maneuver the victim out of position without doing additional damage to the spine). The long board makes a firm litter, protecting the back and neck, and providing a good surface for

Figure 3-29.-Miller (full body) Board.

Figure 3-30.-Blanket used as an improvised stretcher.

CPR and a good sliding surface for difficult extractions.

The short and long boards are often used together. For example, at an automobile accident site, the Corpsman's first task is to assess the whole situation and to plan the rescue. If bystanders must be used, it is essential that they be briefed in thorough detail on what you want them to do. After all accessible bleeding has been controlled and the fractures splinted, the short spineboard should be moved into position behind the victim. Aneck collar should be applied in all cases and will aid in the immobilization of the head and neck. The head should then be secured to the board with a headband or a 6-inch self-adhering roller bandage. The victim's body should then be secured to the board by use of the supplied straps around the chest and thighs. The victim may then be lifted out. If, however,

Figure 3-31.-Improvised stretcher using blankets and poles.

Figure 3-32.-Improvised stretcher using rope or firehose.

Figure 3-33.-Spineboards.

the victim is too large, or further immobilization of the lower extremities is necessary, the long spineboard may be slid at a right angle behind the short spineboard, and the victim maneuvered onto his side and secured to the longboard.

The possible uses of the spineboard in an emergency situation are limited only by the imagination of the rescuers.