Accredited medical flight crews are discovered by customers with the assistance of the internet and the www. As these patients cannot go on the big commercial air charter services : because these patients are dependent on a medical staff , medical air evacuation charters must be hired. Many elderly men and women call for a medical technician and an ACLS trained flight doctor , and/or medical services …. and these are the men or women who cannot be taken by the the everyday planes. There generally are accident victims that are flown by private air ambulance operations because these individuals are in need of critical care units. Since there are the patients who can not go on regular airplane services . This is because these are cases that need medical aid and/or a flight staff, there must be fleets that are there to help families transport loved ones in emergency and non emergency situations.