In this white paper, the P-DART Workgroup describes work to advance theory towards new, contemporary approaches for disaster response. After finding critical flaws in the traditional model, the team identified and evaluated multiple alternative constructs that provide high-level pediatric expertise to disaster sites. First, leveraging recent, universal adoption of telehealth technology, the Workgroup remotely performed three critical functions of P-DARTs teams: triage, primary care and pediatric consultation. Second, as an alternative to dedicated deployable teams, a concept was developed to task existing critical care transport assets for temporary deployment to disaster sites. And finally, methods to identify and capitalize upon existing, but unknown pediatric expertise within Medical Reserve Corps (MRC) network.