Certified medical air evacuation crews frequently are found by clients with the case managers suppliers list. As these cases do not want to go on everyday commercial air charter services …. on account of the fact that these are case patients that necessitate a flight paramedic and an emergency drug kit , med flight companies are a must. Oftentimes there are people that are dependent on an advanced cardiac life support medical technician and emergency medical technician , and a complete ICU/CCU setup : and therefore they are not able to be transported by the public charter air travel charters. From time to time there are outpatients that have need of a medical technician and an ACLS trained medical technician or advanced cardiac life support, so they seek the help of medical air evacuation specialists. It is known especially by insurance company staff that manage patients (case managers) how there may be bedridden men or women that do not want to be taken by the common airline services — due to the fact that these are cases which are dependent on a full emergency care setup.