There are the men and women that are dependent on a complete supply of respiratory equipment , or an advanced cardiac life support emergency medical technician and EMT, so private air ambulance fleets setup an air evacuation together with those people. There sometimes are cases that have need of a respiratory therapist , and a catheter and other equipment ; and these are the patients that are not able to be taken by the normal flights. As they do not have the ability to travel on large commercial airplane charters , air evacuation fleets have to be contracted. The majority of air medical transport youngstown ohio are diagnosed as being outfits that are privately ran. Airevac businesses can be contacted by families of patients with a certified case worker. Men and women who have a medical necessity to be transported are elated when they learn that it is possible to have elderly men and women that need a flight nurse and an ACLS paramedic.