Medical air evacuation establishments are contacted by families through the hospitals air ambulance list. As they call for a paramedic , air ambulance businesses are needed. Elderly people necessitate a medical staff , or an emergency drug kit ; and consequently they are unable to be brought on the everyday airplanes. Of the many elderly people, those who are not US citizens and have a medical necessity to be taken to a more proficient rehab center are flown by air evac services. It is common knowledge by hospital and nursing home staff that airevac establishments transfer patients.