A wheeled attachment system for efficiently attaching to a spine board to allow the spine board to be easily maneuvered over various surfaces (e.g. flat surfaces, stairs, etc.). The wheeled attachment system generally includes an end support, a pair of wheel assemblies extending from opposing sides of the end support, a pair of side supports extending from the end support adjacent the pair of wheel assemblies and at least one strap extending from the pair of side supports. The side supports and the end support define a cavity adapted to receive an end of a spine board, wherein the strap is adapted to secure the pair of wheel assemblies about the spine board.