It is not commonly known amongst your everyday American family that there can be a situation with people that necessitate a well experienced nurse , and/or a complete ICU/CCU setup. As they require a respiratory therapist , medical air evacuation operations have to be contracted. There frequently are men or women who necessitate a flight EMT , or special treatment when they fly. There are elderly men and women who are not able to be moved by large commercial airplanes .. on account of the fact that these are case patients that call for a heart monitor/defibrulator, so medical air evacuation companies schedule transportation with them. Jet ambulance establishments sometimes can be found by patients without the help of a hospital case worker.