Abstract: A pediatric spinal immobilization board for properly immobilizing a pediatric trauma patient prior, and during transportation to an appropriate medical facility. The board includes two rigid panels 10 and 18 which support the weight of the patient's body and head. The panel at the patient's head 18 is located inferior to the panel 10 that supports the patient's body. This dual planed system allows for neutral alignment of the patient's cervical spine and an open pediatric airway. The board is affixed with a plurality of flexible, adjustable, and easily removable restraining straps. These straps are used to effectively restrain the patient to the rigid planes. The straps attach to the board, to each other, and to themselves via a hook-and-latch or other easily connective and removable fastening system. The board is afforded multiple slots that receive the hands of the rescuers to aid in ease of patient transportation to and from a transportation vehicle.