Department of Pediatrics: Emergency Medicine Pediatric Transport

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Pediatric Transport at Children's Medical Center of Dallas is one of the busiest in the nation for critically ill neonatal and pediatric patients, transporting over 3,000 patients a year. It currently is the only pediatric transport team in the nation to be fully accredited by the Commission on the Accreditation of Medical Transport Services (CAMTS) in ground, fixed wing, and rotor wing ambulance services. The transport service consists of dedicated RNs, RCPs, Paramedics, and EMTs teams with PEM/PICU/NICU fellow and attending direct support.

The educational exposure for the PEM/PICU fellows consists of day transport support daily from 09:00-17:00, Monday through Friday for four (4) week blocks. The duties of the fellow "day transport call" are:

Physician Support for the transport teams in active transport mode
Telephone consult with referring physicians
Triaging transport patients to the appropriate service unit (ER, PICU, General Inpatient) and coordinating subspecialty care when applicable
To act as the available physician on transport, if deemed warranted by the team or medical director
To participate and keep a log of a minimum of 20 tranports

Objectives/Goals

The resident/fellow becomes an active team member of the transport team.
Opportunities to physically participate in the patient's transport.
Learning about the various modes of transport for the pediatric/neonatal patient.
Learning the art of assessing critically ill neonates and pediatric patients from the initial triage to the physical assessment of the patient.
Understanding transport physiology for all modes of transport
Opportunities to participate in outreach, referral communication, and education of the referring centers.

The fellow is actively involved in the education component for the Transport Texas by lectures, technical skills sessions and direct involvement in peer and case review sessions. Fellows have the opportunity to participate in our very busy outreach program to referral centers. The transport service is very active in research, with many ongoing projects, service needs, utilization, management, and new technology.

Children's Medical Center of Dallas Mode of Transports:

Four (4) dedicated ground ambulances (0-100 patient loaded miles)
One dedicated fixed wing aircraft, a Citation Jet (100 and more patient loaded miles and worldwide
One Helicopter, a Sikorsky S76-B (40-100 patient loaded miles)