There sometimes are victims of major illnesses that obtain help from fixed wing air ambulance crews on account of the fact that they do not want to go on your common flights . This sometimes is because they are in need of special medical care , and/or a medical technician and an ACLS trained medical technician. Also , air ambulance charters occasionally have to be hired due to the reality that they are non US citizens and have to be sent to a suitable facility. There are cases that are in need of a emergency medical technician and a first rate flight doctor or a heart monitor/defibrulator .. and accordingly they are not good to be sent on the commercial airline service. In the case where it is possible to have the patients that cannot be taken by your usual normal airways . This is because they need a medical technician and a specialized flight paramedic, there are establishments which are available for hire for any disposition. Many elderly men and women occasionally will try to find medivac operations with the internet and the www.