Safety in transport is a major concern. Air medical crashes are in the public eye, but a greater risk of transport may be in the clinical care provided along the way. While the media focuses on the drama of helicopters landing on scene, the greatest and most common risk actually occurs during inter-hospital transport. For too long, transport has been a black hole in clinical medicine and the real rate of adverse events is unknown. New work from the University of Pennsylvania should make us all breathe a little easier.