Since it is possible to have hospitalized men and women who are in non life and death situation yet the people in need of help are suffering a acute medical state, there must be charters who specialize in air transportation for any disposition. Likewise , fixed wing air ambulance establishments have to be hired generally considering the reality that they are not able to fly with large commercial airliners ….. because these are case patients that require a nurse , or expert medical attention. Individuals are in need of medical aid or a medical technician and a BLS flight staff ; and these are the patients that are not good to go on the normal airline companies. There are immobilized patients that look for transportation from air ambulance crews because they do not want to go on common airplane services ; because of the fact that these are cases which necessitate a complete ICU/CCU setup. Emergency medical air evacuation businesses sometimes are contacted by clients with a licensed insurance case worker.