Long-range Bombardier Global jet on the apron, the aircraft type used for intercontinental medical transfers

international air ambulance

International air ambulance: moving patients between continents

An international air ambulance transfer is a different exercise from a domestic one. The medicine is the same, but the operation is not: overflight and landing permits for every country on the route, fuel stops that add hours, crew duty limits that may require a second crew, and customs and immigration for a patient who cannot walk through them. EMS Ambulance runs these transfers worldwide and handles all of it as one fixed-price arrangement.

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Air ambulance medevac ems

Ambulance aérienne

Air France

Escorte médicale

EMS Gecomprimeerd 00621

Ambulance routière

Range decides the number of fuel stops, and each stop is a country that must issue a permit.

Longest routine sectors
Intercontinental, with fuel stops
Crew
ICU team, doubled where required
Permits
Arranged by us
Pricing
Fixed total, all-in

What makes an intercontinental transfer different

On a short regional flight the aircraft leaves and arrives. On a long-haul medical transfer, four things change the plan.

Fuel stops

Few medical aircraft cross an ocean without stopping. Each stop adds ground time, and each stop is a country that must issue a permit. The stops are chosen for handling quality and medical backup as much as for range.

Crew duty limits

Flight crew are bound by duty time regulations. A transfer that exceeds them needs a second crew positioned along the route, or a rest stop. Medical crew fatigue matters just as much and is planned for explicitly.

Cabin altitude

On a long flight the cumulative effect of cabin pressure is significant for patients with head injuries, severe anaemia or recent surgery. The permitted cabin altitude becomes part of the medical plan and can dictate the aircraft type and the routing.

Documentation

Passports, visas where required for crew and patient, customs and immigration at each technical stop, and the medical record that travels with the patient. Missing paperwork grounds transfers more often than weather does.

Cabin of a long-range air ambulance with stretcher, monitoring and defibrillator mounted on the bulkhead
On long sectors the medical crew works in shifts. Fatigue is planned for explicitly, for the medical team as well as the flight crew.

Routes we fly regularly

These are real completed transfers, which gives a sense of the distances and the operational complexity involved.

RouteTypeFuel stops
Beirut to TorontoAir ambulanceTwo
Rome to TorontoAir ambulanceOne
Kahului, Hawaii to Scottsdale, ArizonaAir ambulanceDirect
Bridgetown, Barbados to TorontoAir ambulanceDirect
Alexandria to Fredericton, CanadaAir ambulanceTwo
Playa del Carmen to New YorkAir ambulanceDirect

For insurers, assistance companies and employers

If you are arranging this on behalf of a member, policyholder or employee rather than for your own family, the priorities are different. What matters is a defensible decision, a predictable cost and a clean handover.

  • A medical recommendation, not a sales pitch. Where an escorted airline flight is clinically adequate we will say so, even though it is the smaller invoice.
  • One fixed price for the whole chain, including ground ambulances, permits, handling and crew. No supplementary invoices after the fact.
  • Direct contact with the treating and receiving physicians, so the clinical decision rests on a conversation rather than a form.
  • A written medical record of the journey, handed over at the receiving bedside.
  • One point of contact throughout, reachable at any hour.

What drives the cost

Four variables account for nearly all of the difference between one intercontinental transfer and another:

Distance and fuel stops. Each stop adds handling, fees and hours. Aircraft type. Range and cabin size, which follow from the distance and the medical configuration. Medical crew. A flight nurse, a doctor and nurse, or a full intensive-care team with a specialist. Permits and handling at each country on the route, which vary enormously by region.

Where an intercontinental air ambulance is out of scope, a stretcher or escorted airline transfer covers the same distance for a fraction of the cost, provided the patient is stable enough.

How it works

1

Request

Origin, destination, and the clinical summary or the treating physician's contact details.

2

Medical review

Fitness to fly, cabin altitude requirements and the crew the condition calls for.

3

Operational plan

Routing, fuel stops, permits and crew rotation, with a fixed total price.

4

Clearances and beds

Permits filed, receiving hospital confirmed, ground ambulances booked at both ends.

5

Transfer and handover

Bed to bed, with a written medical record and a verbal handover to the receiving team.

Questions fréquemment posées

Intercontinental transfers, arranged end to end

Send us the origin, the destination and the clinical picture. You get a routing, a crew plan and a fixed total price, usually within the hour.