A backboard is a device for the manual transport of a patient in need of medical care. The backboard with a tiltable assembly has a rigid body with an adjustable tilt assembly engaged to the upper portion. The adjustable tilt assembly is capable of being set in various positions, and is configured to elevate the torso of an accident victim. It allows first responders to have a consistent way to elevate a patient's head and/or torso in the CPR process (or other medical procedure) while the patient is still on the backboard and being transported. Because the elevation has been shown to increase the chance of the return of spontaneous circulation.