New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

What is the best device for moving a patient with a suspected lumbar spinal injury over uneven terrain?

1. Wheeled stretcher

2. Long spine board

3. Flexible stretcher

4. Short spine board

The correct answer is: Long spine board

The best device for moving a patient with a suspected lumbar spinal injury over uneven terrain is a long spine board. This device is specifically designed to immobilize the spine and provide stability during transport, which is critical when managing potential spinal injuries. A long spine board allows for full-body immobilization, ensuring that the patient’s spine remains aligned and minimizing the risk of exacerbating any potential injury during movement. It can be used in combination with strapping to secure the patient and restrict movement, which is essential in cases of suspected spinal injury. When maneuvering over uneven terrain, the stability provided by the long spine board is particularly beneficial, as it helps to keep the patient in a controlled position while navigating bumps and obstacles. This reduces the likelihood of jostling or twisting which could further harm the spinal column. Other devices, such as a wheeled stretcher, while effective on flat surfaces, are less suitable for uneven terrain due to their design and reliance on wheels. Flexible and short spine boards offer mobility but do not provide the full immobilization necessary for spinal protections, especially with a suspected lumbar injury.