There are air ambulance companies that are solely dedicated to air ambulance work. Their aircraft are permanently equipped to carry patients and are modified in ways to improve their ability to meet this function. However, because of cost factors, such aircraft are usually of a type that have limitations of performance with regard to range and speed that make their use for transfers over 1000 miles unsuitable. This is overcome by using, on a charter basis, aircraft that are faster, have greater range, and are more sophisticated. Since very few of these very expensive planes are structured for aeromedical use, they have to be modified as the need arises. There is a remarkable choice of aircraft that might be used to transport patients.
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