Planes and helicopters can be ambulances. 

Planes and helicopters can be ambulances. 
They fly to help sick or hurt people. They can go much faster than cars on the ground. This helps people get to a hospital quickly.
Some planes fly very long ways. Helicopters are good for short trips near cities. They can even fly to far away places. 
These aircraft carry special tools. They have beds and medicine inside. This helps doctors care for people while they fly. 
Flying can be hard in bad weather. Pilots must be very safe. It is a great way to save lives.
Air medical services use aircraft to help sick or hurt people. 

Air ambulances are special. They carry tools like medicine and stretchers. Some have medical crews to help people during the flight. This is called aeromedical care. In the military, this is often called MEDEVAC. 
Flying can be fast. This helps people with major injuries reach a trauma center. A trauma center is a hospital for very bad injuries. However, flying can be expensive. It can also be risky in bad weather. Pilots must always think about safety first. They must also check the weather before they fly. 
Air medical services use aircraft to help people during emergencies. 

Flying can be much faster than using a land ambulance. This is very helpful in rural areas where people live far apart. Some experts believe in a theory called the golden hour. This theory says that people with major injuries need to reach a trauma center very quickly. 
Using aircraft for medicine has a long history. During World War I, planes were used to move soldiers from battlefields. One recorded mission in 1917 in Turkey used a British ambulance. It flew a soldier to a hospital in just 45 minutes. 
Many different places have built their own air medical services. In 1928, John Flynn started the Flying Doctor Service in Australia. This service helps people living in very remote areas. In 1934, Marie Marvingt started Africa's first civil air ambulance in Morocco. Other services began in Sweden and Thailand in the early 1920s. Even Scotland set up a service for its remote islands in 1936.
There are some hard jobs and risks when flying medical patients. Air ambulances can be very expensive to use. Pilots must also watch the weather very closely. Flying in bad weather or at night can be dangerous. 
Air medical services use various aircraft to provide urgent medical care to patients. These services include both fixed-wing aircraft and helicopters. They are used for prehospital, emergency, and critical care during aeromedical operations. Aeromedical operations involve the transport of patients by air. 

There are different ways to classify these medical flights. Military organizations use specific terms to distinguish between types of transport. They call medical evacuation, or MEDEVAC, the use of medically staffed aircraft. They call casualty evacuation, or CASEVAC, the use of aircraft that simply transport patients without medical care. 
One important concept in emergency medicine is the golden hour. This is a theory suggesting that trauma patients need rapid transport to a specialist center. 
Research has explored whether these services always improve outcomes. In 1996, a study in England and Wales found no evidence that air ambulances improved vehicle response times. The study also found that patients did not arrive at the hospital any faster. Looking at health outcomes in Cornwall and London, researchers found no evidence that HEMS, or Helicopter Emergency Medical Service, improved survival for trauma patients. Because of this, ground responders must use strict protocols. They must decide if a patient's condition truly requires an expensive flight.
Safety is the single most important factor in deciding to fly. Pilots and medical crews must consider weather, air traffic, and distance. Flying at night or in bad weather increases the risk of fatal crashes. Crew comfort and the potential for postcrash fires are also serious concerns. 
The history of air medical services began with military necessity. Many historians believe the first true mission happened during World War I. A French Air Service plane flew a Serbian officer from a battlefield to a hospital. French records show this helped reduce the mortality rate of injured soldiers from 60% to 10%. In 1917, a British ambulance flight in Turkey moved a soldier in 45 minutes. 
Civilian services grew from the needs of remote communities. In places like Northern Canada, Australia, and Scandinavia, roads are often blocked. In Norway, many people rely on boats to travel between towns. Early "bush" pilots often performed the first unofficial air ambulance trips. 
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