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Cook Children's Transport Services

Cook Children's Transport Team

One call is all it takes

Across town or across the nation, our transport team is always ready to go.

Refer for immediate transport:


Transporting precious pediatric and neonatal patients takes specialized training and expertise. As one of the largest, and most experienced transport programs in the nation, Cook Children's transport team is dedicated to getting the most medically fragile children and neonates to our award-winning medical center quickly and safely. When you have a patient that needs immediate transport and/or stabilization, just make the call and we're on our way.

Always Ready. Always On Call

From fragile newborns, to critically ill babies, kids and teens, when your patient needs us, Cook Children's Teddy Bear Transport team is ready to go. From ground to air, across North America and parts of Central America, we'll be there, and get them here with expert care.

Cook Children's Transport staff of 58 neonatal/pediatric nurses, respiratory therapists and paramedics are adept at stabilization, resuscitation and transfer of critically ill patients ranging from preterm infants to young adults. All through the patient's transport we are in constant communication with receiving care center, including our Level IV Neonatal ICU, Cardiac ICU, Medical/Surgical ICU, Emergency Department and more. Upon arrival, every team is waiting and ready to begin continued transfer of care.

Our team proudly provides:

  • State-of-the-art communication and dispatch center to manage and monitor all transports.
  • The first pediatric/neonatal transport team in Texas to utilize high-frequency ventilation in an air medical helicopter. The high-frequency ventilator is now a standard fixture in all isolettes, offering conventional or high-frequency ventilation on every neonatal transport.
  • Nitric oxide, standard on isolettes and available on every neonatal transport.
  • Team who can travel to high-risk deliveries to ensure a rapid handoff so baby receives the best care as quickly as possible.
  • Hospital-based program to help achieve quality, safety and access to board certified physicians.
  • Patient representatives, who collaborate with the referring physician to choose the most appropriate mode of transportation.
  • A fully equipped fleet with all necessary supplies, including satellite phones to ensure constant communication.
  • The ability to provide noninvasive ventilation for all patients.
  • Active cooling in transport.
  • Extracorporeal membrane oxygenation (ECMO).

The Transport Communication and Dispatch Center at Cook Children's is staffed by communication specialists 24 hours a day. These highly skilled specialists handle over 100,000 referral calls each year. We are able to manage and monitor multiple transports at one time, tracking every patient, regardless of whether they're arriving by car, ground or air from around the block to across the country and beyond our borders.

The roles and responsibilities of our communication specialists include:

  • Coordinating physician consults
  • Initiating non-emergent and emergent transfers
  • Arranging transport crew for Fixed-Wing Transports
  • Posting department billing charges after each transport

Specialized neonatal and pediatric critical care teams

  • Cook Children's Teddy Bear Transport staff of nearly 60 neonatal/pediatric nurses, respiratory therapists and paramedics all proud to have long dedicated years of transport experience. This team is commited to getting the most medically fragile children and neonates to our award-winning medical center quickly and safely.
  • Our level IV NICU is staffed with a team of neonatologists and specialists who combine expertise with the latest technology to provide the highest level of neonatal care available.
  • Cook Children's designated level II Trauma Center is staffed and equipped to provide comprehensive emergency medical services to patients suffering traumatic injuries 24 hours a day, 7 days a week. Since nearly half of our trauma patients are referred from hospitals in west and north Texas, follow-up with the referring physician is very important and a routine part of the trauma care process.
  • Cook Children's emergency services are available 24 hours a day, seven days a week.
  • The Pediatric Intensive Care Unit (PICU) at Cook Children's Medical Center cares for children with life-threatening illnesses or injuries. This includes treatment for illnesses such as multi-system trauma, respiratory distress/failure, infections and shock. The unit also cares for children recovering from procedures such as cardiothoracic surgeries, brain surgeries, kidney transplants and spinal surgeries.
  • Cook Children's world-renowned CICU pediatric cardiologists and cardiothoracic surgeons treat complex heart conditions in the tiniest patients all the way to young adults and even adults with congenital heart defects.

Prior to our team's arrival the normal referral process will be initiated. This system helps us save valuable time and get the proper care to your patient quicker. The nurse or physician may contact Cook Children's Medical Center via the Communications Center by calling a direct line at 1-800-KID-HURT.

Most ED patients can be accepted without talking to the emergency department physician at Cook Children's. Some of the patient types that require physician-to-physician contact include:

  • Active seizures
  • Altered mental status
  • Fever with a rash
  • Patients who have received more than one 20 ml/kg fluid bolus
  • Patients with severe respiratory distress
  • Dislocations, open fractures, or fractures/dislocations with neuro or vascular compromise, angulations > 30 degrees or displacement > 50%
  • Intubated trauma, intracranial bleed, GCS < 8, or multi-system trauma
  • Cardiac and hematology/oncology evaluated on case-by-case basis, age not a factor

Referring physicians may always request to speak with a Cook Children's physician if they desire. Please have the following information available when you call:

  • Is this an mergent or non-emergent call?
  • Is our team needed for transport?
  • What mode would you prefer (ground, helicopter, airplane -- as appropriate depending on patient condition and distance)? The Communications Center can provide estimated arrival times for the various modes.
  • Patient name, sex, age, DOB, weight, diagnosis and vital signs.
  • Respiratory, perfusion and neurological status as appropriate to patient diagnosis.
  • Treatment and/or interventions performed and/or planned (O2, IVs, meds, labs, etc).

You'll find strength in our numbers

Cook Children’s transport team is one of the busiest in the nation, serving, local, regional, nataional and neighboring countries to ensure children from micropreemies to young adults can have access to the care that meets their most criticial needs.


Transports we perform annually. We're here 24 hours a day, 7 days a week.


Our transport dispatch center is staffed by communication specialists


The number of referral calls handled each year by our communication specialists


The times our nursing staff has achieved Magnet recognition.

Our transport fleet

Cook Children's is home to one of the most advanced transport fleets available.


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All FAA Part 135 aviation services provided by Metro Aviation Inc. in Shreveport, La., which maintains exclusive operational control over all aircraft.