Confined Space Rescue Fundamentals 

The victim would be first placed on a spine board with a cervical collar and head blockers. Once fully secured to the spine board, victim will be put in the Sked to proceed with the extrication

You could also use a half sked for tight spaces.

@@ramirez924 A sked should probably used with a backboard most of the time, already. Especially in training. A back board does not fix or reduce Cervical or spinal injuries. It is a spatula to move a person from point A to point B. The backboard provides rigidity to the sked to assist in NOT creating a back/neck injury. Had it been used, this rescue would not have been possible without packaging, un-packaging, then re-packaging the patient. In this scenario, I would definitely not choose the Sked. That last patient movement to transition vertical was terrible! "Do no harm, Do KNOW harm". The Yates SpecPak would be better, by far.