Many outpatients who can not fly onboard public charter airlines .. because these are men or women which need a flight paramedic or an emergency drug kit retain the help of private air ambulance companies. As they have a medical necessity to be brought to a new facility or are not US citizens , medivac outfits must be used. Of the many elderly people, those have need of advanced cardiac life support — and these are the individuals who cannot be brought on common air charter services. In the case that bedridden men or women are anywhere in the globe and have a medical necessity of being brought to a more suitable rehabilitation center, there are fleets which are available for hire for complex and simple medical cases alike. Elderly patients usually will look around for medivac services on the internet search engines.