Often there are case patients that cannot be transported on the common planes – since these patients need a medical technician and a BLS flight staff and specialized surgery, so medevac establishments set up and put together a flight with these patients. As these patients have a necessity to be transported or are in emergency and non emergency situations , airevac specialists have to be coordinated with. There occasionally are men or women who necessitate an advanced cardiac life support flight staff and flight EMT .. and these are the men or women that cannot go on large commercial air travel services. It is not common knowledge among the average citizen that private air ambulance charters help transport those in need. Medevac fleets frequently are found by spouses of patients without the help of a licensed special case manager.