How should a patient who has vomited during restraint be positioned on a stretcher?

Positioning a patient who has vomited during restraint on a stretcher is crucial to prevent aspiration and ensure their airway remains clear. The left lateral recumbent position is particularly effective because it helps keep the airway open while allowing any vomit to drain out of the mouth, reducing the risk of aspiration into the lungs.

This position allows gravity to assist in keeping the airway free from obstructions, which is vital for maintaining the patient's breathing. It's especially important in the context of a restrained patient, who may not have the ability to clear their own airway effectively.

While other positions like supine or Trendelenburg might be appropriate in certain situations, they do not provide the same level of airway protection in cases of vomiting. The right lateral recumbent position could also be beneficial, but it is generally less optimal than the left lateral for preventing aspiration due to the anatomical arrangement of the organs and the esophagus. Therefore, placing the patient left lateral recumbent is the best choice for facilitating safe respiratory management in this situation.