We recently put a backboard, straps, and head blocks on our accident-response engine. Today, for the first time, we used the board. We had the patient packaged and ready to go by the time the ambulance was on scene. Go, us!
The down side is that we have to go to the hospital to retrieve our gear... I went to get it and had to cool my heels for an hour while the docs did whatever it is that they do.