North Carolina EMT State Practice Exam

When is it inappropriate to use a stair chair for patient transport?

1. If the patient is alert and breathing adequately

2. If the patient has a spinal injury

3. If the patient has altered mental status and inadequate breathing

4. If the patient is under 18 years old

The correct answer is: If the patient has altered mental status and inadequate breathing

Using a stair chair for patient transport is not appropriate if the patient has altered mental status and inadequate breathing. A stair chair is designed to move patients who are able to assist in some way, either through understanding instructions or maintaining their own airway. In cases where a patient has altered mental status, they may not be able to follow directions, which increases the risk of further injury during transport. Additionally, inadequate breathing necessitates immediate medical intervention, which may be complicated by using a stair chair. This situation requires stabilization of the patient's condition before transport, potentially utilizing a more supportive method such as a stretcher or the use of respiratory devices, rather than a stair chair, which is less equipped to address immediate airway concerns. Effective patient care prioritizes safety and the most appropriate means for transport based on the patient's condition. Therefore, transporting a patient in a critical state or one who may not be able to protect their airway should always be handled with more caution and suitable equipment.