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To safely remove an awake and alert patient from a vehicle, the use of a vest-style immobilization device is the best procedure. This device allows for stabilization of the patient's spine while providing support and protection during the extrication process. It is essential, especially if there is any suspicion of spinal injury, as it minimizes movement and helps prevent further harm.

Applying a vest-style device allows for the patient to remain secure as they are assessed and moved. This method is particularly effective when dealing with patients who are conscious and can provide assistance during the extrication process, ensuring their safety and comfort while managing potential risks associated with suspected injuries.

While other methods might have their applications, the vest-style device is specifically designed to facilitate the safe transport of the patient while immobilizing their body adequately. It's crucial for EMTs to prioritize the stabilization of any patient who may have sustained a spinal or head injury, and the vest-style device is tailored for this purpose.