What should be done with a patient after they have been extricated from a vehicle using a short immobilization device?

After extricating a patient from a vehicle using a short immobilization device, the next appropriate step is to immobilize the patient with a vest-type device to a long backboard. This is crucial for a few reasons. First, a long backboard provides additional support and stability, which is especially important if there is a concern about spinal injury. The short immobilization device may not adequately restrict movement or provide sufficient support during transport.

Additionally, transferring to a long backboard reduces the risk of further injury by ensuring the spine remains aligned and immobile. It also allows for better management of patient care during transport, as it creates a stable surface for performing assessments and interventions if necessary.

While it's important to perform a secondary assessment and monitor the patient's condition after extrication, the priority must be ensuring that the patient is securely immobilized before any further steps are taken. Immediate CPR would only be initiated if the patient is unresponsive and not breathing, which is not the immediate focus after extrication unless specific signs of cardiac arrest are present. Thus, properly transitioning to a long backboard is a foundational step in pre-hospital care that enhances patient safety and care.