Abstract: This invention discloses a mobile intensive care patient handling apparatus that includes a specially designed framework member, a pallet member for supporting the framework member while in a commerical aircraft, framework restraint brackets to secure the framework to the pallet member, pallet restraint brackets to secure the pallet member to seat rails provided on commercial aircraft, said framework member is provided with an undercarriage adapted for containing life sustaining medical equipment and further adapted for being secured to both the framework restraint brackets and a conventional ambulance's patient cot restraint brackets. The patient handling apparatus can be designed according to any aviation authorities' design requirements including, structural design requirements for emergency landing conditions, structural design requirements for gust load factors, hardware fastening, structural bonding, size and shape design requirements.