The great majority air ambulances are charters that are privately – run. Many outpatients that obtain help from medivac companies require special treatment or an ACLS trained emergency medical technician and flight paramedic. Air ambulance operations often are researched by the patients sons or daughters with a social worker. As you may not know , medical flight operations are contracted due to the reality that these individuals must be sent to another hospital and are anywhere in the United States. People need a complete ICU/CCU setup and a medical staff when these case patients travel by jet. Where it is possible to have immobile patients that necessitate a medical technician and an ACLS trained flight doctor or a catheter or similar equipment, there almost always are crews which are in service with equipment specific to patients’ needs.