Which device is most suitable for moving a conscious, stable patient down four flights of stairs?

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

Answer: (A)

When moving a conscious, stable patient down multiple flights of stairs, the device chosen should allow a controlled, upright descent with minimal heavy lifting. A stair chair fits this need because it lets the patient stay seated, be secured, and glide down each step with wheels and handles. This setup provides better balance and control for the descent, reduces the risk of losing footing or causing airway compromise, and is specifically designed to navigate stairs efficiently.

Gurneys or stretchers are much larger and heavier, making them difficult to maneuver on stairs and often requiring several rescuers to carry or negotiate each step. An ambulance cot is intended for transport inside an ambulance and not practical for stair navigation.