On occasion there are fixed wing air ambulance specialists who specialize in air transportation in the United States. In fact , non emergency air ambulance fleets generally must be contracted on account of the issue that they necessitate an IV care setup for narcotics and/or a respiratory therapist. Many elderly men and women necessitate an advanced cardiac life support emergency medical technician and EMT — and these are the patients that are unable to be sent on large commercial airline companies. Those people that employ air evacuation companies are severely hurt while holidaying around the US though the case patients have been in a medically self sustaining situation. Many people often try to find air evac services with a hospital case worker.