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Significant preparation is required for efficient, quality, and safe transport services The users of a transport system (the referral hospitals and providers) must ensure the selected transport services meet the standards required for the transfer of their patients It is incumbent on the referring providers to ensure medical stability to the best of their abilities to ensure the safest possible transport of the patient There are several groups and resources dedicated to promoting safe transport practice The Section on Transport Medicine within the American Academy of Pediatrics (AAP) offers a wealth of transport-related information and education Other groups, such as the Air Medical Physicians Association (AMPA) and the Association of Air Medical Services (AAMS) are dedicated to ensuring optimal care for transported patients Transport organizations such as these offer continuing education and are conduits for information regarding Transport Medicine The AAP has multiple published resources including the “Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients, 4th edition” and the more recently published the “Field Guide for Air and Ground Transport of Neonatal and Pediatric Patients: A Quick Reference for Transport Team.” In addition, a useful pediatric transport Listserv is transmedaap@listserv.aap.org and is available through https://services.aap.org/en/community/aap-sections/transportmedicine/ TRANSPORT CONSIDERATIONS Familiarity with the transport environment, and the ability to troubleshoot as necessary, is critical for the successful transport of a patient Therefore, acutely configuring/staffing a transport team in response to an unexpected request for patient transport should be avoided; adequate preparation and training is mandatory Transport-specific logistical issues to consider include specialized providers with the need for close teamwork and communication, transport durable equipment, ample available medication supplies, unique oxygen delivery systems and limited supplemental oxygen supply, the ability to intervene in a cramped mobile environment, the need to safely secure the patient to the stretcher and the stretcher to the transport vehicle, appropriate monitoring in a moving vehicle or aircraft, understanding of inverter power and backup battery power, and personnel safety under sometimes challenging transport conditions Noise, vibration, and temperature can be formidable problems for the patients and providers alike, if not anticipated Motion sickness (air and ground) can be quite problematic for non–transport-acclimated personnel Ideally, transport personnel should be cognizant of their capabilities to tolerate the rigors of
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