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Vikki Ambulance Services are, by nature, a cautious lot. The following article will explain who is immobilised out of hospital and why : http://www.basics.freewire.co.uk/Templates/DLSep98/981.PDF You are correct that the long board is technically for extrication only but in this country, where transit and imaging times are quoted as short, this method has benefits over extricating on one piece of equipment, then moving to another. We will shortly recommend that collars are released in head injured patients once fully immobilised on the board as the evidence that they raise ICP is pretty strong. regards Ian Ian Todd Paramedic Pre-Hospital Guidelines Project, Univ Warwick. __________________________________________________ Do You Yahoo!? Yahoo! GeoCities - quick and easy web site hosting, just $8.95/month. http://geocities.yahoo.com/ps/info1