There are air evacuation fleets which are available for hire in the United States. As they are in our country or must be transported , air ambulance services are needed. The cases call for a heart monitor , or a paramedic while these case patients travel. There are elderly men and women who get help from private air ambulance businesses because they do not want to be transferred by your usual normal airplanes . This is because these are people who necessitate specialized surgery. Many elderly men and women sometimes will look around for non emergency air ambulance establishments with a qualified case work specialist.