Virtually all air ambulances are diagnosed to be privately run establishments. More often than you think there are victims of major illnesses who use air evac outfits because these people need a paramedic , and an IV care setup for narcotics. Of the many elderly people, those occasionally try to find fixed wing air ambulance specialists with a special case manager. As they have to be brought to a new hospital or are in the US and internationally , air evacuation fleets must be contracted. Those people call for medical aid when they travel. When bedridden men or women do not have the ability to go on regular commercial airlines . This is since they necessitate advanced cardiac life support, there always are crews which transfer patients.