The cases that receive help from medical flight operations are in need of an IV care setup for narcotics , or a flight nurse. As they are for any disposition and are in need of being transported to a suitable medical facility , fixed wing air ambulance fleets have to be coordinated with. There are cases who require a flight EMT and/or the highest trained professionals possible when these cases travel. Occasionally there are air ambulance fleets that facilitate the transfer of patients all over the United States. The cases occasionally will search for fixed wing air ambulance companies with the assistance of a case work specialist.