Pediatric trauma presents unique challenges that demand rapid, structured, and developmentally appropriate assessment and intervention. This chapter introduces foundational concepts in triage and transport of injured children, with a focus on the unique anatomical and physiological differences that influence clinical decision-making. Pediatric trauma, particularly from head injury, hemorrhage, or anoxic events, is a leading cause of early mortality. The chapter explores how timely triage using validated tools (e.g., Pediatric Assessment Triangle, Pediatric Glasgow Coma Scale, and color-coded or severity-based scales) ensures accurate prioritization and stabilization. A structured approach incorporating airway, breathing, circulation, neurological assessment, and exposure (ABCDE) is emphasized, with case-based examples guiding clinical judgment during initial evaluation. The distinct roles of PCPs in triage and interfacility transport are highlighted, including monitoring, stabilization, communication with receiving centers, and ensuring continuity of care. The chapter delineates PCP-led responsibilities during various phases of transport—preparation, enroute care, documentation, and structured handover using validated tools such as SBAR and I-PASS. Transport modalities, including interhospital land or air transport, are discussed in context of severity, urgency, and available resources, alongside “scoop and run” vs. “stay and play” strategies. The chapter serves as both a practical and evidence-informed guide for PCPs managing pediatric trauma, emphasizing the integration of assessment, communication, and safe transfer protocols to improve outcomes for children with traumatic injuries.