There are injured men or women who are flown by jet ambulance specialists because they are in the United States or have to be sent to a suitable medical facility. Occasionally there are case patients that necessitate advanced life support and/or a RT(Respiratory Therapist) …. and they do not have the ability to fly the usual commercial airlines. As they are unable to go on public airline outfits . This generally is due to the fact that these case patients necessitate medical care , air ambulance businesses are a necessity. The vast majority air ambulance service asheville north carolina are categorized to be privately -held establishments. Medflight crews often are found by families of patients with the assistance of the world wide web. It is usually not common knowledge to the public amongst everyday Americans that there are hospitalized patients that do not want to be transported by your usual normal airline service …. because these are case patients which have need of a EMT.