Private air evac operations usually can be found by the son or daughter of the patients with a qualified social work specialist. As they need a flight doctor and the highest trained professionals possible , medflight operations are a must. Ever so often there are patients that have need of a flight nurse and a well trained flight EMT while these case patients travel. Outpatients that cannot be transferred by the big commercial airplane charters : because they are designated as being not in non life or death circumstance utlilize medevac fleets. It is known in the hospital community how there are bedridden individuals who are dependent on a flight doctor or special treatment.