Methods and apparatus are provided for an energy attenuating seat and litter support for use in a vehicle. In one exemplary embodiment the energy attenuating seat and litter support includes a seat with a folding back that is lockable in both an upright position for seating, and a folded down, horizontal position. The exemplary embodiment may further comprise a litter mounting fixture accessible when the seat back is in the folded down, horizontal position, and an energy attenuation device disposed to provide energy attenuation for a litter supported by the litter mounting fixture.