Abstract
Safe transport of critically ill infants and children is an essential component of high-quality, pediatric regionalized care. The modern transport environment blends principles of critical care medicine, aviation physiology, provider training, and coordinated systems of care. This review provides an updated examination of current practices in neonatal and pediatric transport, including team structure, clinical bundles, operational considerations, and emerging technologies. Special attention is given to rapidly evolving areas, including data-informed dispatch, real-time clinical decision support, and next-generation devices. The review closes with a discussion of future priorities for research, workforce development, and system design.