Abstract: Disclosed is backboard apparatus for supporting a patient. The apparatus includes a board having top and bottom surfaces, a plurality of side pairs of slots formed in an edge extremity of the board; and a pad assembly connected to the board including a pad having bottom and top surfaces bounded by sides and ends of the pad, and a first strap connected to the pad, having free ends extending beyond the sides of the pad and a fastener for connecting the ends to form a first closed loop, extending through a side pair of the slots and under the bottom surface of the board for securing the pad to the board. The apparatus can include a plurality of the first straps spaced apart on the pad. The board can include an additional pair of the slots located proximate end portions of the edge extremity, the apparatus including a pair of end straps connected to the pad for preventing longitudinal movement between the pad and the board.