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Neonatal and Pediatric Transport: A Contemporary Review.

Keith Meyer1,2, Balagangadhar R Totapally1,2

  • 1Division of Critical Care Medicine, Nicklaus Children's Hospital, Miami, FL 33155, USA.

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Summary

Safe transport of critically ill infants and children requires integrating critical care, aviation physiology, and team coordination. This review examines current neonatal and pediatric transport practices and future priorities for research and system design.

Keywords:
ECMO transportcritical care transportneonatal transportpediatric critical carepediatric transportquality and safetytelemedicinetransport physiology

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Area of Science:

  • Pediatric critical care medicine
  • Aviation physiology
  • Systems of care

Background:

  • Safe transport of critically ill infants and children is vital for regionalized pediatric care.
  • Modern transport systems integrate critical care, aviation physiology, provider training, and coordinated care.

Purpose of the Study:

  • To provide an updated examination of current practices in neonatal and pediatric transport.
  • To highlight rapidly evolving areas and future priorities in the field.

Main Methods:

  • Review of current literature and practices in neonatal and pediatric transport.
  • Examination of team structure, clinical bundles, operational considerations, and emerging technologies.

Main Results:

  • Current practices involve integrated approaches to critical care delivery during transport.
  • Emerging technologies and data-informed strategies are enhancing transport efficiency and effectiveness.

Conclusions:

  • Continuous improvement in neonatal and pediatric transport requires ongoing research, workforce development, and system design.
  • Advancements in data-informed dispatch and real-time decision support are key to future progress.