There are case patients who require specialized surgery and/or a flight EMT and a seasoned flight paramedic, so medflight crews setup a flight together with those case patients. Every once in a while there are cases that necessitate a flight paramedic .. and they cannot be taken by the normal airline establishments. As you may be unaware , non emergency air ambulance specialists often must be hired due to the fact that they need a flight nurse. The vast majority medevac fleets are considered to be privately – held business organizations. Many everyday people usually will search for fixed wing air ambulance operations with the many internet resource directories available. Due to the fact that there may be immobilized patients that need a paramedic, there should be companies which are there to help patients for emergency situations.