Outpatients who retain the help of airevac fleets need a flight paramedic and an ACLS medical staff. Likewise , medical air evacuation fleets are contracted due to the fact that they are in need of a respiratory therapist. Elderly people need an emergency room setup , and/or a flight doctor while they fly. In the event men and women are unable to be brought on the commercial airplane services . This is frequently when they are not in non life and death condition, there always are establishments who help patients and families for complex medical cases. Med flight crews can be contacted by the spouse of the patients with a social worker.