Roughly all non emergency air ambulance charters are specified as being companies that are privately ran. There often are case patients that are helped by airevac outfits because these men or women are dependent on an ACLS trained medical technician and paramedic. The cases usually try to search for air ambulance services tidewater virginia through the telephone directory. As well , private air ambulance establishments must be hired considering the fact that these cases cannot be brought on the usual airline companies – due to the fact that they are not in a medically self sustaining condition. Often there are individuals that necessitate a breathing machine and a nurse and a certified medical technician ; and accordingly they do not want to go on normal airline establishments. It is general knowledge by social workers and hosital staff how private air ambulance fleets exist just for the purpose of transporting patients in need.