The vast majority private air ambulance fleets are privately -run . Elderly patients that hire non emergency air ambulance specialists require a heart monitor/defibrulator and/or a nurse. Many everyday people occasionally try to find air ambulance services adak alaska with the helping hand of a social work specialist. As they are severely hurt when away on vacation in a city without sufficient medical care but these case patients are in non life and death condition , non emergency air ambulance crews must be hired. There are cases that require a flight nurse when they travel on a plane. It is not common sense amongst non-medical professionals how members of the general public receive help from medical flight charters.