There sometimes are elderly people that are not able to go on regular commercial airline services, so these cases utlilize fixed wing air ambulance outfits. As they are for any medical case and/or have a medical necessity to be transported , air ambulance establishments have to be coordinated with. Of the many elderly people, those require a flight nurse , or an IV care setup for narcotics – and consequently these are the individuals that do not have the ability to be moved by public charter airplanes. Where there are outpatients that can not be transferred by everyday airline services — because these are people that require a EMT and a certified flight EMT , and a complete supply of respiratory equipment, there almost always are outfits who are available to help those in need for a plethora of patient cases. Many elderly men and women sometimes seek medivac outfits with the assistance of the internet.