My Mom uses them, so I've seen them brought in by the supply company as well as seeing her haul them around. Basically there are no real safety precautions necessary other than having them secure.
With the big bottles the tank is steel and heavy while the valve is relatively small and weak, so to speak. If the bottle fell, just it's weight and momentum would easily break the valve. The result is the valve has to have a guard to protect it.
With the medical bottles, they are aluminium. Between the small size, and lite weight of the bottle and as beefy as the valve is, the chance of a valve getting broken is so infinitesimally small that it's simply not an issue for anyone.
So, as another reply suggested, it you have several bottles, a milk crate, or 2 liter soft drink crate works well for keeping them upright and together. For just one bottle, simply lay it down where it won't roll around, and it will be fine.
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