Guidelines for Air & Ground Use

  • Ground or air transport: 800-888-8056
  • For intercepts call: 911

Our goal is to improve local access to Advanced Life Support(ALS) and provide rapid air/ground transport for patients suffering from acute, severe illness or injury.

In the situations listed below, there is a significant likelihood for the need for rapid transport.  Aspirus MedEvac requests that first responders and/or law enforcement notify 911 at the time of initial dispatch, in addition to the traditional ground EMS response, for any of the situations listed below.

Activate Aspirus MedEvac for the situations listed below with >30 minute transport time without ALS  (or) >45 minute transport time to closest appropriate facility.

This form must be completed and signed by the attending physician prior to any MedEvac transport. Give completed form to MedEvac personnel.

When to Call for Transport

Click the categories below for more information on guidelines to follow for using medical transportation services:


  • Patient requires critical care life support
  • Ground transport time is >45 minutes
  • Potential delays associated with ground transport
  • Time sensitive medical issues
  • Leaving local service area without EMS coverage
  • Decrease out of hospital time
  • Hazardous road conditions
  • Advanced airway management
  • Invasive monitoring
  • Vasoactive medications
  • Blood administrationVentilator management
  • Specialty transports (NICU, PEDS, high risk OB)


  • Unstable vital signs: hypotension, tachycardia, respirations <10 or >30
  • Suspected new CVA (stroke) with symptoms < 3 hour onset
  • Post Cardiac Arrest
  • Chest pain (age at or greater than 40)
  • Allergic reaction with Shortness of Breath
  • Difficulty breathing
  • Submersion injury
  • Other major medical illness per caller’s report


  • Glasgow Coma Scale <10
  • Deteriorating mental status
  • Skull fracture
  • Presentation suggestive of spinal cord injury


  • Abdominal aneurysm
  • Major pelvic fractures
  • Significant abdominal pain after blunt trauma
  • Rib fracture below nipple line
  • Acute abdominal surgery requirements


  • Amputations or near amputation
  • Gunshot or stab wound to head, neck, or torso
  • Penetrating injury – mid thigh to head
  • Burns
  • Unrestrained occupant in overturned vehicle
  • MVC with patient entrapment, ejection or death in same compartment
  • Auto vs. pedestrian
  • Motorcycle accident
  • Mass casualty incident
  • Falls greater than >10 feet

Once an EMS provider has arrived on scene, if the clinical situation does not require additional ALS resources or transportation by air, they have the option of simply notifying dispatch to cancel the ALS air/ground, without cost to the patient or EMS providers.

Aircraft operated by Med-Trans Corporation under FAA operating certificate # M3XA227H.