The cases sometimes will look around for medical flight services when they do not have the assistance of a special case manager. In fact , fixed wing air ambulance establishments are called upon because they would be defined as being extremely ill while away on vacation with no hospitals around but these people are in non life or death condition. There are cases that are dependent on an emergency drug kit … and these are the cases who are not able to go on the the public airliners. There are case patients who are flown by jet ambulance crews because they are in a medically self sustaining circumstance yet the men or women in need of help are suffering a critical health condition. It is known widely by those who work within hospitals that there may be bedridden individuals who have to be transported and are with experienced staff for their situation.