West Coast EMT Block One Exam

What is the most significant challenge when immobilizing an elderly patient on a long backboard?

1. Abnormal spinal curvature

2. Naturally deformed bones

3. Patient disorientation

4. Joint flexibility

The correct answer is: Abnormal spinal curvature

Immobilizing an elderly patient on a long backboard presents unique challenges due to the potential for abnormal spinal curvature, which is a common issue in this demographic. As people age, they may develop conditions such as kyphosis or scoliosis, which can lead to an altered spinal alignment. When securing an elderly patient to a backboard, it’s crucial to properly align their spine to prevent further injury or discomfort. Abnormal spinal curvature can make it difficult to achieve this alignment, and if the immobilization is not done correctly, it could result in increased pain, pressure sores, or other complications during transport. Proper techniques and tools must be employed to account for these curvatures, ensuring both safety and comfort for the patient. In contrast, while joint flexibility, naturally deformed bones, and patient disorientation present other challenges, they may not significantly impact the critical objective of ensuring proper spinal alignment during immobilization as much as abnormal spinal curvature does.