Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients

The American Academy of Pediatrics Section on Transport Medicine supports the safe transport of pediatric patients by developing clinical guidance, providing education, facilitating interdisciplinary networking, promoting research, and advocating for transport providers at the local, state, and national level.Robert Holcomb Jr, MD, FAAP attended Arizona State University, a dual major in Biomedical & Chemical Engineering. He earned his Medical Degree from Georgetown University. He completed his Residency at Wilford Hall US Air Force Medical Center and Fellowship in Neonatology at the University of Colorado/Denver Children's Program. Dr Holcomb was a distinguished graduate of Air Force ROTC, and is an 18-year USAF Disabled Veteran.Keith Meyer, MD, FAAP is the Medical Director of Nicklaus Children's LifeFlight© Neonatal and Pediatric Transport Services in Miami, Florida. With over 20 years of experience in Pediatric Critical Care and Transport Medicine, he has dedicated his career to improving the care of critically ill neonatal and pediatric patients during transport.Ranna A. Rozenfeld, MD, FAAP, FCCM, is Professor of Pediatrics at the Warren Alpert Medical School of Brown University. Dr. Rozenfeld specializes in Pediatric Critical Care Medicine. She is the Division Director for Pediatric Critical Care Medicine and the Medical Director of the LifePACT Pediatric Critical Care Transport Team at Rhode Island Hospital/Hasbro Children's Hospital. She is actively involved in teaching, research and clinical care.Hamilton Schwartz, MD, MEd, FAAP, FACEP, is board-certified in pediatrics, pediatric emergency medicine, and EMS medicine. He is the Medical Director of the Cincinnati Children's Critical Care Transport Team and Pediatric Medical Director for the Cincinnati Fire Department. He co-founded the Ground Air Medical qUality Transport (GAMUT) database and Quality Improvement Collaborative, an international transport medicine quality improvement collaborative involving over 400 member organizations. He is the associate editor of the American Academy of Pediatrics (AAP) Executive Committee of the Section on Transport Medicine's two-volume policy guides on neonatal and pediatric transport medicine. He is also co-editor of the AAP's new peer-reviewed transport research journal Transport Dispatch.Tamara N. Rush, MSN, RN, C-NPT, EMT, widely known as Tammy, is an accomplished nursing professional with an extensive career spanning over four decades. Tammy holds a Master of Science in Nursing from East Carolina University, earned in 2013. Her impressive career is marked by 42 years of dedicated service in pediatric and neonatal critical care nursing, with a particular focus on critical care transport management.

• Chapter 1: Organization of a Neonatal-Pediatric Interfacility Transport Service Chapter 2: Transport Program Administration Chapter 3: Transport Team Clinicians, Health Care Professionals, and Team Composition Chapter 4: Transport Program Personnel, Training, and Assessment Chapter 5: Communications and the Dispatch Center Chapter 6: Equipment and Medications Chapter 7: Legal Issues Chapter 8: Quality Improvement Chapter 9: Safety Chapter 10: Transport Mode: Issues, Timing, Safety, Selection Criteria, Considerations, and Options Chapter 11: Transport Physiology and Stresses of Transport Chapter 12: Patient and Family Centered Care Chapter 13: Marketing the Neonatal-Pediatric Transport Program Chapter 14: Outreach Education Chapter 15: Financial Considerations Chapter 16: Database Development and Application Chapter 17: Transport Research Chapter 18: Ethics Chapter 19: Accreditation Chapter 20: Special Considerations for Neonatal-Pediatric Transport Chapter 21: Maternal High Risk OB Transport Chapter 22: Telemedicine in Transport Chapter 23: Stress Management, Debriefing, and Team Health Chapter 24: Involvement and Integration with EMS Chapter 25: Simulation in Pediatric and Neonatal Transportation Chapter 26: ECMO on Transport Chapter 27: Infection Control: Protect the Patient, Protect the Team Chapter 28: Pediatric Psychiatric and Behavioral Care in Transport Appendix A: Sample Position Descriptions Appendix B: Sample Transport Medicine Transfer Agreement Appendix C: Key Elements of a Neonatal/Pediatric Transport Team Appendix D: Interfacility Transfer Form Appendix E: Blood Product Use in Transport Appendix F: Blood Transfusion Consent Appendix G: Policies and Procedures Appendix H: Transport Resources