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Lifeline: Critical Care Transport

Critical Care Transport
(Staffed by a Registered Nurse)

All transports that fall outside of the scope of practice of a Maryland EMT-Paramedic are termed Critical Care.  Highly trained Critical Care Transport Nurses, are dispatched along with an advanced life support team to provide care during transport.  Working within the guidelines of the Maryland Nurse Practice Act, Hopkins transport nurses provide advanced skills to their patients in a variety of transport settings.  Our critical care units are equipped with the most advanced equipment available for our patients.  In addition to this equipment, each unit is stocked with approximately 75 medicines for use by the Registered Nurse in the transport environment.  This allows for the management of a wide variety of disease processes prior to the patients’ arrival to the Johns Hopkins Medical Campus’.

Lifeline also facilitates specialty transports of pediatric patients.  A nurse and a physician from the Pediatric Intensive Care Unit provide care for the patient during transport with the Lifeline Paramedic.  The Maryland Regional Neonatal Transport Team is staffed by the Neonatal Intensive Care Unit and responds to all requests for neonatal transports.

Through a thorough and comprehensive training program, patients of all acuity levels can be transported safely and efficiently to The Johns Hopkins Hospital.  On-line medical direction (Consultation with our Medical Director), is available for every call on a 24 hour, 7 day a week basis.

Our Critical Care Registered Nurses come to our program with a solid foundation of expertise from working in a critical care environment (ICU).  They are expected to be credentialed as a CCRN (Critical Care Registered Nurse) within one year of employment.

All Nurses, Paramedics and EMT’s with the program attend mandatory continuing education on a regular basis to assure that they maintain an adequate knowledge base and display competency in performing skills and techniques which are required in their respective discipline.


  • Advanced Cardiac Life Support (ACLS)
  • Advanced Burn Life Support (ABLS)
  • Neonatal Advanced Life Support (NRP)
  • Pediatric Advanced Life Support (PALS)
  • Trauma Nursing Core Course (TNCC)
  • Emergency Nurse Pediatric Course (ENPC)
  • Basic and Advanced Trauma Life Support (ATLS)
  • Critical Care Registered Nurse (CCRN)
  • Certified Emergency Nurse (CEN)
  • Certified Flight Registered Nurse (CFRN)
  • Critical Transport Registered Nurse (CTRN)
  • National and State Certified EMT-Paramedic


  • Ventilator for each patient
  • Three chamber IV pumps (3)
  • Zoll Defribrillator with external pacer
  • End-Tidal CO2 and Pulse Oximetry Monitoring Equipment
  • Internal Pacemaker
  • IABP ( Intra-Aortic Balloon Pump)
  • Doppler
  • Isolette
  • Ventricular Assist Devices (VAD and BiVAD Devices)
  • Intubation and Emergency Airway Equipment
  • Medications


  • Any medicated infusion not included in the list for Paramedics
  • Patients requiring advanced hemodynamic monitoring
  • Patients requiring medical/surgical nursing expertise
  • Patients requiring a VAD, BiVAD or IABP device
  • Airway concerns and compromise

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