It is not widely known among non-medical professionals how there may be elderly people that can not be taken on public charter airplane services . This is because these are patients which are in need of a first rate flight paramedic and flight staff. As these case patients are specified as being bedfast yet the cases in question are in non life and death condition , medical air evacuation crews have to be hired. There are cases that require a BLS flight EMT and flight paramedic , and specialized medical care while they fly. Those people who are unable to be brought on your usual normal planes … since these cases are dependent on a medical staff and an experienced flight nurse employ air ambulance charters. Cases occasionally will try to search for air ambulance services columbus ohio with a special case manager.