Almost all medical air evacuation operations would be defined as being commercial enterprises that are privately – held. Now that then there are hospitalized people who are in need of being brought to a new medical facility and are visiting away from their own country, so jet ambulance businesses deliver an air evacuation for their customers. Licensed air evacuation companies generally are found by the family of the patient through the world wide web. As they need a complete ICU/CCU setup or a top notch emergency medical technician and flight nurse , medevac charters must be coordinated with. Everyday there are cases that call for a paramedic ; and consequently these are the patients who are not good to be moved on the the everyday airliners. Since injured patients are in need of a flight doctor, there should be specialists who are there to help patients.