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My base does a lot of IFT's. Some are time is brain situation, some are just taking the patient to where they can get an operation done. In any case, the alternative is an ambulance with a lower standard of care. Most of our transports go off without a hitch, but some don't. In those cases, the patient is better off with us vs an ambo. It's like insurance, if you never use it you feel like you're getting ripped off. If you do need it though, boy are you glad to have it. In any case, I'm just the pilot.