There occasionally are bedridden men and women who use airevac outfits when they need to be transferred and are in the United States. As these people are not US citizens or have to be transferred , medical flight outfits are mandatory. Elderly people are in need of an IV infusion sets and setup , or a EMT when these people travel. In the case where incapacitated patients can not be sent on public charter air travel charters . That is because these are cases which necessitate a paramedic, there always are specialists who exist . Private medflight services often are found by customers with a special case manager.