All the time there are elderly patients who do not want to be transferred by the big commercial airline service . This often is on account of the fact that these are patients who are in need of a medical technician, so these men or women seek the services of airevac crews. There generally are cases that need a flight staff , and a catheter and other equipment while these cases fly. As they are not good to go by regular commercial airliners : since these are patients which are in need of an emergency room setup , medical air evacuation specialists must be contracted. The vast majority air ambulances are considered to be charter operations that are privately owned. Elderly patients generally lookup jet ambulance operations on the phone book. In the situation where the cases need to be moved to another hospital or are wherever they are in the world, there are establishments which are there to help families transport loved ones for non emergency situations.