The patients who use air evacuation services are for a plethora of patient cases or need to be brought to a better facility. Those few people are in need of a heart monitor/defibrulator while they travel by jet plane. As they are with equipment specific to patients’ needs or need to be transported , fixed wing air ambulance establishments are a must. Mostly all air ambulances are privately run . Specialized air ambulance establishments frequently are found by the spouse of the patient with the help of the phonebook. Bedridden patients who are in need of medical treatment in another medical facility are surprised to discover that it is possible to have accident victims that are unable to be onboard normal airplane charters.