Long spine boards are often discussed in trauma care. Which statement is accurate about them?

• A. True
• B. False
• C. Not recommended for any patients
• D. Only for pediatric patients

Answer: (B)

In trauma care, immobilization strategies have shifted from routine, prolonged use of long spine boards toward more selective, careful stabilization. Long spine boards were once standard to prevent secondary spinal injury during transport, but evidence now shows they often do not improve outcomes and can cause harm—pain, pressure injuries, respiratory compromise, and airway difficulties. As a result, the current approach is to minimize time on any immobilization device, apply a cervical collar with in-line stabilization when spinal injury is suspected, and remove or replace the board as soon as it can be done safely, using alternative methods like scoop stretchers or vacuum splints when appropriate. Because of this shift, the idea that long spine boards are routinely emphasized or used in all cases isn’t accurate, which is why the statement is considered false.