For which scenario is a Stokes basket appropriate, and what precautions are required?

• A. For water rescue where a lifebuoy is needed; ensure flotation devices are ready.
• B. For vertical or restricted-space rescues where a litter is necessary; ensure secure attachment and proper handling to avoid further injury.
• C. For aerial evacuation from helicopter; ensure color-coding.
• D. For quick patient transport along rubble; ensure speed first.

Answer: (B)

A Stokes basket is a rigid, rope-rescue litter used to immobilize and protect a patient while being moved in vertical or confined-space rescues. It’s designed to be securely attached to a rope system and handled by trained rescuers, so the patient stays aligned and protected from further injury during lowering or hoisting through tight or obstructed areas. That’s why it’s the best fit for scenarios where a litter is necessary in vertical or restricted spaces.

The precautions center on control and stabilization. Secure the basket to solid anchor points and the rope system with appropriate rigging and redundancy, and attach the patient firmly to the litter to prevent movement. Immobilize the patient as needed (spine precautions, cervical collar if indicated) and pad or immobilize limbs to avoid further injury. Maintain a level, controlled descent or ascent with a trained handler or belay/hauler, and keep the route clear of obstacles and snag hazards. Ensure all team members know their roles, communicate continuously, and inspect equipment before use to confirm it’s in good condition and rated for the load.