Which method is least appropriate for moving a patient with suspected spinal injury?

• A. long backboard
• B. scoop stretcher
• C. clothes drag
• D. vest-style extrication device

Answer: (C)

Maintaining spinal alignment during transfer is crucial when a spinal injury is suspected. The goal is to move the patient with minimal movement of the head, neck, and spine, using devices or techniques that immobilize and stabilize the spine throughout the process. A long backboard provides rigid immobilization of the entire spine, helping keep the spine in a neutral, fixed position during transport. A scoop stretcher allows lifting and transferring the patient while keeping the spine aligned and the head stabilized, reducing unnecessary movement. A vest-style extrication device is designed to immobilize the head and torso during extrication or transfer, preserving alignment as the patient is moved to a carrier or board. In contrast, a clothes drag involves pulling or carrying the patient by clothing, offering little to no control over spinal movement and often causing twisting or flexion of the neck. This lack of stabilization makes it the least appropriate method for someone with a suspected spinal injury.