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You are called to the scene of a patient who fell approximately 5 feet off a stepladder to the floor of a third-story attic of a very old building. He is complaining of severe neck and back pain, and he has an obvious fractured ankle. You cannot get your stretcher past the first-floor stairs and your long spine board is not practical with the winding spiral staircase and the small attic access. What is the best device to safely get the patient out of the attic where he can be properly immobilized?

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