In the case of a 33-year-old restrained driver complaining of neck pain, how should he be extricated?

When dealing with a patient who has sustained a neck injury, proper immobilization is crucial to prevent further damage to the spinal cord. The use of a vest-style device is indicated in this scenario because it provides adequate support and stabilization for the cervical spine while allowing for safe extrication from the vehicle. This type of immobilization helps to limit movement, ensuring the patient's neck remains properly aligned during the process, which is vital for maintaining spine integrity.

This approach is especially important for a restrained driver who might have experienced a significant impact, making cervical spine injury a potential concern. The vest-style device not only stabilizes the head and neck but also allows for a more controlled extrication process, reducing the risk of exacerbating any potential injuries.

Prior applications of a full leg splint may not be appropriate here, as they are typically used for isolated lower extremity injuries. The rapid extrication technique, while useful in certain time-sensitive emergencies, does not prioritize the immobilization of the cervical spine, which is critical given the neck pain described. Maintaining slight traction to the neck area is also not a recommended practice in this scenario because it can lead to unnecessary movement and potential injury during the extraction.