This paper addresses critical issues surrounding the design of medical transport stretchers within the context of high-rise residential settings. It centers on the exigencies and challenges faced by medical emergency response teams operating in residential environments. Through an exhaustive analysis of medical rescue services, stretcher functionalities, and constraints posed by building spaces, this study delineates the specific design requisites imperative for stretcher optimization. It underscores that the effectiveness of both the stretcher and its operation is significantly in1fluenced by contextual factors, such as environmental conditions and operator proficiency. Building upon these insights, this research endeavors to advance stretcher design through innovative and tailored solutions. This work aims to contribute to the evolution of stretcher technologies, ultimately enhancing the efficacy of medical emergency responses in high-rise residential scenarios.