The vast majority air ambulances are privately – held enterprises. The cases who hire fixed wing air ambulance outfits are considered to be in need of advanced critical care while on vacation in places without good hospitals although the case patients in need of help are in non critical condition. Men and women frequently will search for air evacuation companies when they are not helped by a qualified case worker. As you may not know , fixed wing air ambulance establishments have to be hired on account of the fact that these case patients have a medical necessity to be transferred or are in our country. Hospitalized patients call for an ACLS trained medical staff and EMT when these cases travel. On occasion there are medflight operations which are available to help those in need wherever they are in the world.