Where the cases can not be brought on the usual air travel charters, there should be specialists that help patients and families . As these people are unable to be transported on large commercial airplane charters .. because these men or women necessitate an emergency-trained EMT or a full emergency care setup , jet ambulance establishments are required. Elderly patients are in need of a emergency medical technician and an experienced emergency medical technician , or special medical care …. and as a result they cannot be moved by the large commercial airplane services. Those few people who call for a heart monitor obtain help from air ambulance businesses. Many common people usually try to search for air ambulance astoria oregon without the assistance of a special case manager.