Traveling with oxygen – whether by train, plane, or automobile - requires proper planning. Preparing for travel should be done weeks to months in advance to ensure a smooth experience. Before traveling anywhere, it is important to connect with your care team to discuss the length and location of your travel plans, as well as the elevation and weather that may affect your health.

• High Altitude Simulation Testing (HAST) can determine your need for oxygen at an altitude. Room air at sea level contains 21% oxygen, but when traveling by air, the pressurized cabin still contains less oxygen – closer to 15%, or 6-8k feet elevation. HAST testing simulates these lower oxygen levels to determine your oxygen needs while cruising in a plane or arriving at a destination with increased elevation. Ask your provider about HAST testing prior to a flight or travel to an elevated destination. 

• Always carry a copy of your oxygen prescription with you when traveling. Airlines and rail lines may require specific forms to be completed and signed by your provider.
• Wear a mask in busy areas to help avoid catching a virus or other illnesses, as well as avoid environmental pollution.
• Travel insurance, particularly when cruising, is recommended. 
• Check for local regulations and access to nearby oxygen services, especially when traveling overseas. There are companies who help provide oxygen services abroad. In some cases, booking with a travel agent can help you navigate your travel needs with ease.

• Most durable medical equipment (DME) providers will allow for the rental of a portable oxygen concentrator during travel. Check with your oxygen provider to determine the services and equipment they have available.
• Tanks and portable oxygen concentrators (POC) are the easiest way to travel with oxygen, whether a pull behind style portable or a smaller pulse dose device. Tanks, depending on size, can be as lightweight as 2 pounds, or as heavy as 8 pounds. Coordinate with your DME provider to find a tank size that is manageable in size, while still providing the liter flow and tank duration you need for your travels. Some tank sizes are offered in 2 styles.
• Always travel with your tanks in a carrier device, and store upright when not in use.
• If you use nighttime oxygen, be sure to obtain a travel device that can provide continuous flow with sleep, as pulse dose oxygen is NOT recommended for nocturnal use.
• Portable concentrators are intended for use between 40 and 100 degrees. Allow your machine to warm up before using it when it's cold. In high heat conditions, try to keep your device well ventilated, below 104 degrees, and out of direct sun. Keep in mind that extreme temperatures will affect your battery life. Overheating can cause damage to the machine. Store your device in a temperature-controlled environment.
• Most pulsed portable oxygen concentrator devices have shoulder straps as well as a backpack style carrier so that you can choose what you are most comfortable wearing. Backpack style carriers are often more comfortable as they disperse their weight over both shoulders. These are not typically covered by insurance but are widely available.

• Travel by Car: Compressed gas tanks, liquid oxygen, and portable concentrators can be used for travel by car. Be sure to secure your tanks, whether firmly on the floor in a back seat, or with a seat belt. Do not store oxygen tanks in the trunk or bed of a truck for safety in case of a rear-end accident. Always keep the car well-ventilated so that there is no buildup of oxygen or excessive heat within the vehicle while in use.
• Travel by Rail: Amtrak allows travel with either tanks or portable oxygen concentrators. You must inform them in advance by contacting 1-800-USA-RAIL. You can take no more than six tanks or 120 lbs of oxygen supplies. Portable oxygen concentrators must have at least four hours of battery life and must be certified by Underwriters Laboratory (UL) or Factory Mutual (FM) for safety. Travel by train is sometimes easier than by plane, as you will not be affected by cabin pressures, and you will be able to keep your portable devices plugged in during travel. Be sure to bring charging adapters and spare batteries in case of delays.
• Air Travel: Must be done using a portable oxygen concentrator, as compressed or liquid gas is not allowed. All portable oxygen concentrators used for air travel must be FAA-approved. Airlines require travel forms to be completed prior to your check in. These forms typically must be filled out and signed by your doctor. You must ensure you have concentrator power for 150% of your flight time, which can be achieved via spare batteries. Always check with your airline for specific requirements prior to travel.
• Cruising: Contact your cruise line prior to booking to inform them of your needs and ask about their policies. A DME local to your port of departure may be able to help you with a concentrator or tank delivery prior to your arrival. Be sure to take power adapters for charging battery operated equipment while off the ship, as each country you visit may vary in outlet style.