Elderly men and women that look for transportation from air evacuation fleets do not have the ability to go on your usual airline companies – because these are case patients that have need of medical aid. From time to time there are cases that are dependent on advanced life support , and an experienced flight paramedic ; and as a result they are not good to fly the regular commercial airline services. As they require a medical technician , medevac operations are required. The great majority medical flight establishments are charters that are privately -owned. Fixed wing air evacuation operations can be found by the spouse of the patients with the help of the hospitals air ambulance list. In the situation where it is possible to have sick men and women that are foreigners and are in need of being transported, there must be specialists who exist for a relocation of a patient.