Due to the fact that everyday people can not go on everyday airline service – because of the fact that these individuals are specified as being not in a non life and death situation, there should be specialists who are there to help families transport loved ones for a routine non-emergency transport. As these patients do not want to go by the everyday airline outfits . This is since these individuals are in need of a medical staff , fixed wing air ambulance companies are a necessity. Many outpatients necessitate an ACLS trained medical technician and paramedic and/or an IV monitor and care for special medicine while they travel on a aircraft. Individuals that are helped by medical air evacuation services are in need of a RT(Respiratory Therapist) , or special medical care. Airevac charters usually are discovered by the family of the patient with a qualified special case manager.