Since this question comes up a lot in classes, here’s the current accepted strap order for the long backboard (LBB) and KED:
- Immobilize torso to the board by applying straps across the chest and pelvis and adjust as needed.
- Immobilize the patient’s head to the board
- Fasten legs, proximal to and distal to the knees
Seated Patient (KED, short backboard, etc)
- Secure the device to the patient’s torso.
- Evaluate torso and groin fixation and adjust as necessary without excessive movement of the patient.
- Evaluate and pad behind the patient’s head as necessary to maintain neutral in-line immobilization.
- Secure the patient’s head to the device.
- Release manual immobilization of head.
- Rotate or lift the patient to the long spine board.
- Immobilize patient to long spine board.
The “MBLHT” acronym is out, and I can’t think of any fun acronyms or mnemonics for the new strap order. Oh well.
These strap orders were taken from the EMT-B National Standard Curriculum (NHTSA). You can find the curriculum at this link (PDF).