Annicq ASJM, Randle E, Ramnarayan P, et al. - Researchers performed this retrospective study of prospectively collected data to determine the clinical features as well as results of referrals for extracorporeal membrane oxygenation to a regional pediatric intensive care transport service, and to determine clinical characteristics at initial referral that predict the eventual requirement for extracorporeal membrane oxygenation. Findings revealed that conventional management was continued in a considerable portion of extracorporeal membrane oxygenation referrals (59.6%) in this large cohort of neonatal and pediatric extracorporeal membrane oxygenation referrals to a pediatric intensive care transport service, but death of 8.8% of the referrals was reported prior to the receipt of extracorporeal membrane oxygenation. The crucial factors that could improve results included earlier referral for extracorporeal membrane oxygenation; targeted referral triage using primary diagnosis, oxygenation index, and Vasoactive-Inotropic Score; and access to mobile extracorporeal membrane oxygenation services as well as faster mobilization of transport teams.