The great majority air ambulances are privately -run business enterprises. Ever so often there are elderly men and women that are not good to go by public charter planes ; because they call for a flight paramedic, so they look for transportation from medical air evacuation establishments. Common people generally will lookup medevac operations with a trained hospital case worker. In fact , fixed wing air ambulance services are usually contracted due to the fact that these case patients are wounded while away on vacation anywhere the hospitals are inefficient but they are in stable condition. Those few people necessitate a complete ICU/CCU setup ; and as a result these are the patients who are not able to be onboard the large commercial airline services. It certainly is actually quite impressive how there can be a situation with elderly men and women who can not go on the public airlines.