Emergency medical systems (EMS) in the US and Canada struggle to answer the question of whether a policy of intra-arrest transport (ie, scoop and run) is better or worse than a continued on-scene cardiopulmonary resuscitation (CPR) approach (ie, stay and play) for pediatric patients with active CPR during out-of-hospital cardiac arrest. For adults, there is some evidence, concern, and consensus about potential harm associated with intra-arrest transport during CPR. 1 For children, there are few data and wide variability in EMS practice: one-third of policies specify on-scene CPR with transport only after successful return of circulation, one-tenth specify intra-arrest transport, and the majority do not specify when to initiate transport during active CPR. 2 Prior pediatric studies are confounded Open Access. This is an open access article distributed under the terms of the CC-BY License.