Air evacuation services can be found by spouses with a insurance case worker. As these patients are dependent on a flight doctor , and/or a complete respiratory kit , medical flight charters must be coordinated with. Outpatients need a flight doctor and a BLS flight nurse while these individuals fly by airplane. There often are elderly people that have need of a RT(Respiratory Therapist) , and/or an IV monitor and care for special medicine, so they hire jet ambulance fleets. It is known widely within the field and profession of emergency medicine how fixed wing air ambulance operations can help families.