If a patient has altered mental status due to medical problems, in which position should they be transported?

When a patient has altered mental status due to medical problems, the lateral recumbent position is preferred for transportation. This position helps maintain an open airway and can reduce the risk of aspiration, particularly if the patient has a decreased level of consciousness. In this position, gravity aids in keeping the airway clear, and it is also beneficial in case the patient vomits. The lateral recumbent position is often referred to as the recovery position, which is a safe way to monitor and manage patients who are not fully alert or are at risk of airway compromise.

While the Trendelenburg position may have been historically thought to improve circulation, it is not appropriate for patients with altered mental status since it can impede breathing and does not specifically address airway management. The supine position with the head raised and Fowler's position can also compromise the airway in patients who are not fully alert, posing risks of aspiration or breathing difficulties. Therefore, the lateral recumbent position is the best choice for ensuring the safety and comfort of a patient with altered mental status.