
Fixed-Wing Patient Transport
Safe, Medically Supervised Air Ambulance Care for Long-Distance Travel
When a loved one needs to travel a long distance for medical care, families are often faced with unfamiliar terms, urgent decisions, and emotional stress. Fixed-wing patient transport—also known as air ambulance or medical air transport—provides a safe, medically supervised way to move patients who cannot travel by ground ambulance or commercial airline.
Atlas Air Ambulance provides air ambulance services using medically equipped airplanes for long-distance medical transport. Every flight is carefully planned around the patient’s medical condition, level of care required, and continuity of care from bedside to bedside.
What Does “Fixed-Wing” Mean?
The term fixed-wing simply refers to an airplane (as opposed to a helicopter). A fixed-wing air ambulance is used for longer distances, interstate travel, and international routes where helicopter transport is not practical.
For families searching for help, this may also be described as:
-
Patient transport by plane
-
Medical air transport
-
Patient air transport
-
Long-distance medical transport
All of these terms refer to the same goal: safely transporting a patient by air with appropriate medical care during the journey.
When Air Ambulance or Medical Air Transport Is Used
Air ambulance services are often considered when a patient’s medical condition, distance of travel, or level of care required makes other transportation options unsafe or impractical. Situations where air ambulance transport may be appropriate include:
-
A patient requires continuous medical monitoring or clinical intervention during travel, which can be safely supported in the stable, pressurized cabin of a fixed-wing aircraft
-
The distance is too great for safe ground transport or helicopter, increasing medical risk or discomfort
-
Commercial airline travel is medically unsafe or not appropriate due to the patient’s condition
-
A patient needs to be transferred between hospitals or specialty care centers, often over long distances where time and continuity of care matter
In these situations, patient transport by plane allows medical care to continue uninterrupted while reducing travel time and supporting patient stability throughout the journey.
Levels of Care We Provide
BLS, ALS & Critical Care Air Ambulance
Every patient’s medical needs are different, and not every air ambulance flight requires the same level of care. Atlas Air Ambulance provides multiple levels of medical air transport, selected through clinical review to ensure patients receive the appropriate support during long-distance medical transport—no more, no less. Our team helps families understand which level of care may be appropriate based on the patient’s condition, stability, and medical requirements during patient air transport.
Basic Life Support (BLS)
BLS air ambulance transport is typically appropriate for patients who are medically stable but require basic monitoring and assistance during travel. This level of care may be considered when a patient does not require advanced medical interventions but still cannot safely travel by commercial airline or ground transport.
Advanced Life Support (ALS)
ALS air ambulance transport is used when a patient may need medication administration, cardiac monitoring, or advanced medical support during transport. This level of care allows for closer clinical oversight and intervention if needed while traveling by plane.
Critical Care Air Ambulance
Critical care air ambulance services are designed for patients who require ICU-level monitoring, advanced equipment, or complex medical management throughout the flight. These transports are carefully planned to maintain patient stability and continuity of care during long-distance travel.
Common Medical Reasons for Fixed-Wing Air Ambulance Services
Fixed-wing air ambulance transport is most often used when a patient’s medical needs, distance of travel, or care complexity require a higher level of oversight than ground or commercial travel can safely provide. These situations typically involve patients who need ongoing clinical monitoring, specialized equipment, or a controlled medical environment throughout transport.
Below are examples of medical circumstances where fixed-wing air ambulance services are commonly used, based on clinical review and physician guidance:
-
Cardiac Emergencies (Including Heart Attacks) Transport to advanced cardiac care centers when timely access to specialized treatment is critical.
-
Severe Respiratory Illness Support for patients who require oxygen therapy, ventilation, or close respiratory monitoring during travel.
-
High-Risk Pregnancy Complications Medically supervised transport for expectant mothers and babies when specialized maternal or neonatal care is needed.
-
Critical or Terminal Illness Compassionate long-distance transport to facilities providing advanced treatment, comfort-focused care, or proximity to family.
-
Neurological Conditions and Stroke Time-sensitive transfers to neuro-specialty centers for evaluation, intervention, or continued care.
-
Impella-Supported Cardiac Patients Coordinated transport for patients requiring Impella device support, managed by experienced medical flight teams.
-
ECMO Transport Advanced care for patients with severe cardiac or respiratory failure, ensuring uninterrupted ECMO system operation throughout the journey.
-
Bariatric Patient Transport Specialized planning, equipment, and staffing to support patient safety, dignity, and comfort during transport.
-
Traumatic Brain and Spine Injuries: Carefully managed transport with appropriate immobilization and monitoring to reduce risk and support recovery.
With Atlas Air Ambulance’s fixed-wing aircraft and clinically led approach, patients receive coordinated, professional care throughout the entire journey, supporting safety, comfort, and timely arrival at the appropriate destination.

