Yes. Each aircraft used in the AmbulanceFlight.com missions operates strictly under a valid Air
Operator Certificate (AOC) or Air Transport Certificate (ATC). These certifications ensure that
the operator complies with national and international aviation regulations, including mandatory ones
maintenance schedules, crew training programs, flight safety management systems, operations
audits, and continued oversight by civil aviation authorities. This ensures that each mission is
performed in a fully compliant and regulated environment.
Securite & Certifications
What are the certifications of your operators?
We work exclusively with air ambulance operators that meet or exceed international quality and
safety standards. Many hold EURAMI or CAMTS accreditation, which evaluates medical protocols,
equipment, crew training, shipping procedures, infection control systems and quality management.
Some operators are also ISO 9001 or ISO 45001 certified, demonstrating structured processes and
strong safety culture. These additional certifications provide a higher level of reassurance for
insurers, hospitals and families.
Securite & Certifications
Are the operators audited regularly?
Yes. All operators are subject to routine audits by aviation authorities, internal safety services, and
sometimes third-party auditors. These audits assess the competence of pilots, flight operations manuals,
maintenance records, risk assessment procedures and compliance of medical equipment.
AmbulanceFlight.com reviews audit status and security documentation before assigning assignments,
ensure that aircraft and crews consistently meet the highest safety requirements.
Securite & Certifications
How do you ensure compliance with medical aviation standards?
We follow strict guidelines established by EASA, ICAO and international transport of critical care
body. The medical equipment is certified for aviation, secured against turbulence and supported by redundancy.
systems. Medical flight crews are trained in altitude physiology, hypoxia risk and emergencies
procedures. We also implement detailed checklists before each mission to verify the oxygen supply,
battery backups, cabin layout and equipment preparation. Compliance is maintained thanks to
continuous training and operational supervision.
Securite & Certifications
Is it safe to transport a patient in intensive care by plane?
Yes. Our missions are designed to operate as airborne intensive care units. Equipment such as
ventilators, monitoring systems, infusion pumps and emergency medication allow the continuity of critical care
care throughout the flight. The medical crew is trained to handle complex cases in environments
with vibrations, noise, limited space and changing cabin pressure. For high-risk cases, we
implement adjusted cabin altitudes, fluid control strategies and pre-flight stabilization to ensure
maximum security.
Securite & Certifications
How do you manage infection control?
Infection control is a priority. Airplanes are disinfected with hospital grade solutions before and after
each mission. All medical surfaces are cleaned using approved disinfection protocols. Crew
members use protective equipment depending on the risk of infection, and infectious patients can be
transported in isolation units such as portable biocontainment systems. Waste disposal, respiratory tract
the management and sterilization of equipment follow infection prevention standards used in hospitals.
Securite & Certifications
Are the missions insured?
Yes. All missions are covered by mandatory aviation insurance, including liability insurance, aircraft
cover of the hull, insurance of the crew and, if applicable, coverage for medical malpractice for the caregiver
staff. In high-risk or complex destinations, additional mission-specific insurance can be
added to ensure complete protection for the patient, the crew, and the aircraft. The insurance documentation is
available on request for hospitals or insurers.
Securite & Certifications
Are there any conditions that prevent a patient from taking the plane?
Some medical conditions require stabilization prior to air travel. Examples include uncontrolled conditions
bleeding, untreated pneumothorax, unstable arrhythmias, severe oxygen-insensitive hypoxia
therapy, or immediately post-operative patients. Our medical director reviews all reports and
determines whether adaptations—such as lower cabin altitude, additional or stronger oxygen
clinical stabilization—are necessary to make the mission safe.
Securite & Certifications
How are airplanes medically adapted?
The planes are equipped with certified stretcher systems, supports to secure the monitors and
ventilators, medical oxygen outlets, inverters and storage dedicated to medications and
equipment. The arrangements of the cabin are adapted to allow the medical team direct access to the patient during
all phases of flight. All facilities comply with aeronautical certification standards to ensure that they
stay operational and safe during turbulence or unexpected events.
Securite & Certifications
Are all flights operated with two pilots?
Yes. For safety reasons, all medical missions are carried out with a crew of two pilots, even when the aircraft
the regulations allow for the certification of a single pilot. Double-pilot operation improves situation awareness,
reduces the workload, and ensures redundancy during complex missions or in the long term, night flights,
or operations in difficult weather conditions. This policy significantly increases the safety margins
for the patient and the crew.
