Moving a critical patient is a dangerous medical intervention; there are risks and benefits. The benefits still revolve around providing specialized treatments and diagnostics not available at every facility. Recent literature has shown that time until definitive treatment is an important consideration. Critically ill patients are at increased risk of morbidity and mortality during TRANSPORT. Risk can be minimized and outcomes improved with careful planning, the use of appropriately qualified personnel and selection and availability of appropriate equipment. Furthermore, the accompanying personnel and equipment are selected by training to provide for any ongoing or anticipated acute care needs of patient. PreTRANSPORT coordination and communication as well as successful communication between the receiving and referring hospitals are essential for successful TRANSPORT.The tertiary care center that accepts the patient must be accessible and provide recommendations by telephone. The referring hospital must provide adequate information about the patient for appropriate recommendations to be made.Preparing a patient for TRANSPORT to referring facilities will, before TRANSPORT, be appropriate evaluation and stabilization to the degree possible to ensure patient safety during TRANSPORT. Accompanying personnel: it is strongly recommended that a minimum of two people accompany a critically patient. Accompanying Equipment Monitor or standard blood pressure cuff, plus oximeter, and cardiac monitor/defibrillator should accompany every patient without exception. Equipment for airway management, seized appropriately for each patient, is also TRANSPORTed with each patient. Monitoring During TRANSPORT: All critically ill patients undergoing TRANSPORT receive the same level of basic physiologic monitoring during TRANSPORT as they had in the intensive care unit. This includes at a minimum: continuous ECG monitoring, pulse oximetry, plus rate, and respiratory rate.Conclusion: Each hospital should have a formalized plan for intra- and interhospital TRANSPORT that addresses: a) PreTRANSPORT coordination and communication; b) TRANSPORT personnel; c) TRANSPORT equipment; d) Monitoring during TRANSPORT; e) Documentation.