Which device is most appropriate to move a conscious, stable patient down four flights of stairs?

• A. Stair chair
• B. Stretcher
• C. Gurney
• D. Ambulance cot

Answer: (A)

Moving a conscious, stable patient down four flights of stairs is best done with a stair chair. This device is specifically designed for stair descent, allowing the patient to stay seated and secure with a built-in seat belt while responders control the descent. Its narrow profile and wheels enable smoother navigation of each step, reducing the risk of losing balance or causing unnecessary movement. The patient remains comfortable and airway management is easier in a seated position, and you can manage the descent with one or two rescuers who have good control.

Stretcher, gurney, and ambulance cot are bulky and less maneuverable on stairs. They require more people to carry and are prone to tipping or getting stuck on stairs, making them impractical for a multi-flight descent. They are better suited for horizontal transport, such as on elevators or flat ground, or when spinal immobilization is needed.