The call came into Aery Aviation’s 24/7 dispatch center from a Los Angeles hospital: a critically ill patient needed immediate transfer to Cleveland Clinic over 2000 miles away for specialized care unavailable anywhere on the West Coast. The patient was stable enough for transport, but only with continuous ICU-level medical support. Ground ambulance? Not feasible. Commercial aviation? Can’t accommodate critical care patients. The family needed an answer in minutes.
Within 90 minutes, Aery Aviation’s Learjet 45 — configured for advanced medical transport — was wheels-up from Los Angeles, bound for Ohio with a critical care patient, a flight nurse, a paramedic, and two ATP-rated pilots at the controls. This is what coast-to-coast critical care air ambulance service looks like when the operator has the aircraft, the crew, and the systems to execute.
Los Angeles to Cleveland — 2,073 Miles, Nonstop
When Aery Aviation’s dispatch team received the request, they began coordinating across multiple stakeholders simultaneously:
- The referring hospital in Los Angeles confirming patient acuity, required medical equipment, and ground ambulance transport to Van Nuys Airport.
- Cleveland Clinic’s case management team arranging bed availability, receiving team readiness, and ground transport from Burke Lakefront Airport.
- Critical care medical crew with a flight nurse and paramedic staffed to match the patient’s in-flight medical needs.
- Aery Aviation flight operations assigning the Learjet 45 (offering the range and medical configuration for a 2,073-mile patient-loaded nonstop flight), filing the IFR flight plan, and coordinating fuel services at both ends.
- Maintenance teams confirming the Learjet 45’s medical equipment was airworthy and mission-ready.
While the aircraft was being prepped on the ramp, the medical team prepared the patient for transport: IV lines secured, ventilator checked, monitoring equipment calibrated, medication protocols confirmed.
Once the patient was loaded and the medical team signaled ready, Pilot in Command Dan Haugh and Second in Command Thomas Salvatore, ATP-rated pilots with extensive critical care transport experience, departed Los Angeles. The flight crew maintained constant communication with ATC, monitored weather along the route, and coordinated arrival logistics with Cleveland Clinic. The medical team monitored the patient continuously, maintaining ICU-level care throughout the flight. The patient arrived safely at Cleveland Clinic.
Total distance: 4,250 miles round trip. Patient-loaded leg: 2,073 miles, nonstop.
How Aery Aviation Handles Coast-to-Coast Critical Care
Not every air ambulance can fly this distance with a patient onboard without refueling. Coast-to-coast critical care transport demands range, speed, and medical capability. Aery Aviation’s modified Learjet 45 delivers all three.
Range: Coast-to-Coast Without Fuel Stops
The Learjet 45 has a maximum range of over 2,000 nautical miles, enough to fly from California to Ohio without stopping for fuel. For critical care patient transport, this is decisive. Refueling stops introduce delay, patient handling complications, and operational risk. A nonstop flight means the patient remains under continuous medical supervision in a controlled environment from departure to arrival.
Speed: When Every Hour Matters
The Learjet 45 cruises at 465 knots (535 mph) with a maximum altitude of 51,000 feet. That combination of speed and altitude puts the aircraft above most weather and commercial traffic congestion. This Los Angeles-to-Cleveland mission took approximately four hours — a trip that would require over 40 hours by ground ambulance.
Medical Configuration: ICU-Level Care at 45,000 Feet
Aery Aviation’s Learjet 45 is configured for advanced medical care — not a retrofit, but a purpose-designed medical transport interior:
- Stretcher platform with aviation-grade patient restraint systems
- Medical power supply for ventilators, infusion pumps, monitoring equipment, and life support devices
- Oxygen supply with redundant backup systems for extended flight duration
- Storage for critical care medications, IV fluids, and emergency medical equipment
- Seating for medical crew positioned for continuous patient access
Aery Aviation operates under FAA Part 135 air carrier certification and holds CAMTS accreditation — the highest standard in air medical transport. Aery is also ARG/US Gold rated and currently in the Platinum audit process.
The People Behind Aery Aviation’s Air Medical Missions
Aircraft capability is half the equation. Coast-to-coast critical care flights require trained professionals who execute under pressure with zero margin for error.
Every Aery Aviation pilot holds an Airline Transport Pilot (ATP) certificate — the highest level of FAA pilot certification. Flight crews undergo annual simulator training, exceed FAA currency requirements, and are type-rated in the specific aircraft they fly. They understand that critical care transport is a life-or-death operation where timing and precision are non-negotiable.
Behind every mission is Aery Aviation’s 24/7/365 dispatch team — aviation operations professionals who coordinate with hospital systems, insurance companies, and families. When the call comes in at 2 AM, the dispatch team is ready. Not on-call. Not forwarded to an answering service. Ready.
Contact Aery Aviation for Air Ambulance & Organ Transport
If your hospital system, critical care transport program, or family requires coast-to-coast air medical services, Aery Aviation is standing by 24/7.
Aery Aviation’s special mission medical operations team works directly with:
- Hospital case managers, transplant coordinators, and organ procurement organizations (OPOs)
- Insurance authorization teams and medical transport case managers
- Critical care transport programs managing regional or national patient transfers
- Families arranging urgent air ambulance transfers for critically ill loved ones
- Hospital network logistics coordinators managing time-sensitive medical supply transport
24/7 Dispatch: (833) 240-9007


