Air evacuation establishments usually are found by clients without the helping hand of a social worker. As these patients cannot go by regular airways . This is because these cases are diagnosed to be not in a non critical circumstance , air ambulance operations have to be contracted. There are individuals that are in need of a nurse and a first rate flight paramedic ….. and consequently they can not be brought on the the usual airplane services. Case patients that have need of a respiratory therapist employ medflight operations. There occasionally are non emergency air ambulance companies which are available to be hired in any country in the world.