Periodically there are the patients who receive help from med flight companies because of the fact that these patients cannot go on large commercial airplane services . This occasionally is because of the fact that these are people which necessitate an emergency room setup. As they would be defined as being disabled when being outside the United States in places without good hospitals but they are in a non life and death circumstance , medical air evacuation services must be coordinated with. There occasionally are case patients who need a BLS EMT or special medical care when they travel. There often are air evac charters which exist just for the purpose of transporting patients in need anywhere in the United States. Women and men occasionally look for medical flight crews when they do not have the assistance of a licensed social work specialist.