Because injured men or women can not go by regular airline charters . That is since these are case patients who are in need of a first rate flight paramedic and flight staff , and/or medical aid, there are companies which are there when air transportation is needed for any predicament. As a matter of fact , jet ambulance operations are usually hired due to the issue that these men or women require special medical care , or a RT(Respiratory Therapist). The cases are dependent on a complete respiratory kit when they travel by airline. There generally are hospitalized patients that have to be transferred and are foreigners, so air ambulance charters reserve and set up transportation together with their clients. Citizens frequently will lookup non emergency air ambulance services when they are not assisted by a special case manager.