There generally are medivac specialists who do exist wherever they are in the world. As they require a heart monitor , fixed wing air ambulance charters are mandatory. Elderly men and women need a medical technician and an ACLS trained medical technician , or a heart monitor while they travel. Those few people that look for transportation from private air ambulance operations need an IV infusion sets and setup , and/or a respiratory therapist. Case patients usually will look around for jet ambulance services on the internet and the world wide web.