Long backboards are commonly used to attempt to provide rigid spinal immobilization among EMS trauma patients. However, the benefit of long backboards is largely unproven. ... Patients with penetrating trauma to the head, neck or torso and no evidence of spinal injury should not be immobilized on a backboard.

When should a backboard be used?

The guidelines state that patients who may be appropriate for backboard immobilization include those with: Signs of neurologic compromise. Evidence of spinal injury. A high risk injury with an inability to properly evaluate the patient (i.e. intoxicated, altered mental status, presence of distracting injuries)

Are backboards bad for patients?

While the backboard is a useful spinal protection tool during extrication, use of backboards is not without risk, as they have been shown to cause respiratory compromise, pain, and pressure sores. Backboards also alter a patient's physical exam, resulting in unnecessary radiographs.