A postal questionnaire was sent to all consultants and specialist trai
nees in the West Midlands about the use of spinal boards in the accide
nt and emergency (A&E) department, Response rate was 70%. There was wi
despread use of boards in A&E despite an ATLS recommendation to the co
ntrary. Hospitals should review their policies on use of spinal boards
within the department, using the evidence available to determine the
best means of immobilisation.