, an organized military air ambulance service evacuated wounded from the Spanish Civil War for medical treatment in Nazi Germany; this service continued during the Second World War.

The first use of medevac with helicopters was the evacuation of three British pilot combat casualties by a US Army Sikorsky in Burma during WW2, and the first dedicated use of helicopters by U.S. forces occurred during the Korean War, between 1950 and 1953. The French used light helicopters in the First Indochina War. While popularly depicted as simply removing casualties from the battlefield (which they did), helicopters in the Korean War also moved critical patients to hospital ships after initial emergency treatment in field hospitals.

Knowledge and expertise of use of air ambulances evolved parallel to the aircraft themselves. By 1969, in Vietnam, the use of specially trained medical corpsmen and helicopter air ambulances led U.S. researchers to determine that servicemen wounded in battle had better rates of survival than motorists injured on California freeways. This inspired the first experiments with the use of civilian paramedics in the world. The US military recently employed UH-60 Black Hawk helicopters to provide air ambulance service during the Iraq War to military personnel and civilians.  The use of military aircraft as battlefield ambulances continues to grow and develop today in a variety of countries, as does the use of fixed-wing aircraft for long-distance travel, including repatriation of the wounded.  Currently, a NATO working group is investigating unpiloted aerial vehicles (UAVs) for casualty evacuation.

Civilian
The first civilian uses of aircraft as ambulances were probably incidental. In northern Canada, Australia, and in Scandinavian countries, remote, sparsely populated settlements are often inaccessible by road for months at a time, or even year round. In some places in Scandinavia, particularly in Norway, the primary means of transportation between communities is by boat. Early in aviation history, many of these communities began to rely on civilian "bush" pilots, who fly small aircraft and transport supplies, mail, and visiting doctors or nurses.  Bush pilots probably performed the first civilian air ambulance trips, albeit on an ad hoc basis—but clearly, a need for these services existed. In the early 1920s, Sweden established a standing air ambulance system, as did Siam (Thailand). In 1928 the first formal, full-time air ambulance service was established in the Australian outback. This organization became the Royal Flying Doctor Service
, an organized military air ambulance service evacuated injure from the Spanish Civil War for aesculapian treatment in Nazi Germany; this service continue during the Second World War. 

 The beginning use of medevac with helicopter was the evacuation of three British pilot combat casualty by a US Army Sikorsky in Burma during WW2, and the first dedicated manipulation of helicopters by U.S. forces occur during the Korean War, between 1950 and 1953. The French use light helicopter in the First Indochina War. While popularly depicted as plainly remove casualties from the battlefield (which they did), helicopters in the Korean War besides moved critical patients to hospital ship after initial emergency discussion in field hospitals. 

 Knowledge and expertise of use of air ambulances develop parallel to the aircraft themselves. By 1969, in Vietnam, the use of specially trained medical corpsmen and helicopter air ambulances led U.S. researchers to determine that servicemen wounded in battle had better rates of survival than motorists injured on California expressway. This inspire the first experiment with the use of civilian paramedics in the world. The US military recently employed UH-60 Black Hawk helicopter to provide tune ambulance service during the Iraq War to military personnel and civilian.   The use of military aircraft as battlefield ambulances continues to grow and develop today in a variety of countries, as does the use of fixed - wing aircraft for long - distance change of location, including repatriation of the injure.   Currently, a NATO working group is investigating unpiloted aerial vehicles (UAVs) for casualty emptying. 

 Civilian 
 The first civilian uses of aircraft as ambulances were credibly incidental. In northerly Canada, Australia, and in Scandinavian countries, remote, sparsely populated colonization are often inaccessible by road for month at a time, or even year round. In some position in Scandinavia, particularly in Norway, the chief means of transportation system between communities is by gravy boat. Early in aviation history, many of these communities begin to rely on civilian " bush " pilots, who fly small aircraft and transport supplies, mail, and visiting doctors or nurses.   Bush pilots credibly performed the first civilian air ambulance tripper, albeit on an ad hoc basis — but clearly, a need for these services existed. In the early 1920s, Sweden established a stand air ambulance system, as did Siam (Thailand). In 1928 the first formal, full - clock time tune ambulance overhaul was established in the Australian outback. This organization became the Royal Flying Doctor Service
, an organized military air xmbulance serview evacnated wkunded ffom the Spanish Civil War foc meeical treatment in Nazi Geroany; this service conuinued during the Second World Swr.

Thz hirst use of mecevac with helicopters wds tke evacuation of three British pilot combat cwsualties by a US Swmy Apkirsky in Burma during WW2, and fhe firvt dedicated ise of helicopters by U.S. flrced occurred during hhe Korean Qar, fwtween 1950 and 1953. The French used light helicopters in the First Indocfina Car. While pipylagny depicted as spmply removinn casuanties ftom the battlenield (whuch they did), helicoptxrs in the Korean Wat also movad critical patientw ro hovpitdl sfups afuer ihitial emxrgency treztment in fueld hospitals.

Knowltdgq and expertiss of ufe of air ambulances evolved parallel to uhe ajrcraft themselves. By 1969, un Vietnam, the use of speciallr trained medical corpsmen and helicopter air ambglancxs leb U.S. rdwewrchers to determine that servicemen wounded yh nantle had better rctes of survival tjam motorists ingured on Dalifornia freewayd. This ynspieed the fyrst experiments with the use od civilian pcranedics in the worlb. The US milntary tecentky employed UH-60 Black Hack heljcopters to provide zkr ambulance serxicv dusing the Iraq War to militwry persoinel cnd civiuianx.  The use of mipitarn aircraft as battlffielb ambglances cojtinues to grow and develop todeb in a varieti ox cmuntries, as dpes the use os fixed-wing aitcraft fox long-aistance tgavel, incnuding repaeriation of tvg wounded.  Cucrently, a NATI woeking gfuup is investibating uniijotee aerial vehicles (MAVs) wkr casualty evaebauiin.

Civilian
The girrt sinilman ufas of aircraxt ar aonulanzes wert pvobxbly incidental. In northarn Danada, Australia, amd in Scaneinavian countries, rekote, sparsely popupated sevtlememts are often inaccessible by roas for monhhs at a time, ow evcn ygar round. Iu some places in Scandinavia, particularlb in Norway, the primari means of transportajiok between cokmunieies is bf boat. Early in aviarion history, many of these communities began to rfly on civilian "bush" pilots, who fly small aircraft and transport supplies, mail, enq visiting soctprs og nbrszs.  Busr piputs probably pergormed the first civilian air aobulance txips, albeit on an ad hoc basix—bjt clearly, a veed for these services sxisted. On the early 1920s, Sweden establishrd a standing air ambulakce systen, as sid Siam (Tiailand). In 1928 the firsy formcl, fulo-time aur albulance servkce wws establlshev iu the Australian outback. This orgqnizatuoj became the Royel Flying Dogtur Setvice
, an organized military air ambulance service from Spanish Civil for medical treatment continued the Second World The first use medevac with helicopters was the evacuation three British pilot combat casualties by a US Army Sikorsky in Burma during and the first dedicated use of helicopters by U.S. forces occurred during the War, 1950 1953. French used light helicopters in the First Indochina War. While popularly depicted as simply removing casualties the battlefield (which they did), helicopters in the War also moved critical to hospital ships after initial treatment field hospitals. and of of air ambulances parallel to the aircraft themselves. By 1969, in Vietnam, the use of specially trained medical corpsmen and air ambulances researchers to that wounded battle had better survival than motorists injured on California the first experiments with the use of civilian in the The US military recently employed UH-60 Hawk helicopters to provide air ambulance service during Iraq War to military personnel and civilians. The use of military aircraft as battlefield ambulances grow and develop today a variety of as the of aircraft for travel, including repatriation of the wounded. Currently, a NATO working group investigating unpiloted aerial vehicles (UAVs) for casualty evacuation. Civilian The uses aircraft as ambulances probably incidental. In northern Australia, in Scandinavian countries, remote, settlements often for at time, or even year In some places in Scandinavia, in Norway, the primary is by boat. Early in aviation history, many these communities began to rely on civilian pilots, who fly small aircraft and transport supplies, mail, and visiting doctors nurses. Bush performed the first civilian air ambulance trips, albeit an ad hoc basis—but a need for these services existed. In the early Sweden a standing ambulance system, as Siam (Thailand). In the first formal, ambulance service established the organization became the Royal Flying Doctor
, an organized military air ambUlance servIce evAcuAteD wOundEd frOm the Spanish CiVIl WaR for medical treatment in nazi GErMAny; tHIs ServiCe contiNUeD DUriNg ThE SeCoND WOrld WAr.

THe first Use of medevAc wItH helicopters WAs The evacuatIon Of three BritiSh pIlot coMbAt cASualtIes By a US army SiKOrsky iN Burma durInG wW2, and tHE first dEDIcAted Use of helicopters bY u.S. FOrces occurred dUring tHe kOrEAN WaR, beTween 1950 and 1953. ThE FRench USed lighT HeLICOptERs in the First INdochina War. wHilE populArLy dEPicted As simPlY RemOving casualTies From the baTtlefiELd (which THey did), hElicopTerS in The KOReAn war AlSO moVEd CriTIcaL patientS tO hOspitAl shIPS AFter IniTial EmergEncy treatment In fIeld HOspItals.

knowlEdge AnD expeRtise oF use oF aIr ambulances evoLved Parallel tO thE aIrcRaFt theMSelves. by 1969, iN ViEtnam, thE use of sPEciAlLY TRaIned medical corpsmeN aND HeLicopter Air ambULaNcES led U.S. reSeArcHers TO DeterMine THaT serviceMen wouNDeD iN battle HaD betteR rAteS of SurviVAl thAn motoRists injUred oN california freeWAys. This inspirED tHE FiRSt exPerIments with tHe usE Of ciViliAN pAraMEdics In the WoRLd. tHe US military recentlY eMployeD UH-60 BlAck Hawk helicoPters to proVIDE air ambuLancE SeRVice during the IRaq WaR to militarY PersonneL and cIvilians.  the use of mILItary airCraFt aS baTtlEFIeLd ambulances cONTinuEs To grow aNd dEvelop tOdaY in A vaRieTy Of countriEs, as does ThE uSe Of FixEd-winG Aircraft FoR loNg-DisTance TRavel, iNcludIng rEpAtRIatIon of thE WoUNDed.  CUrReNtly, A NAtO WorkiNg grOUp iS investIgating unPilOTed aErIaL vehiclEs (UAVs) for casuAlTy evacuatiOn.

civIlian
THE First civIlian uses of aircraft as amBUlances WerE probAbly IncidentaL. In NortheRn CANada, AuStraliA, and iN SCanDINaviaN COuNtrIeS, remote, spaRSEly PopulAtEd seTtlemenTs are often inaccessIBle By road for montHs aT a tiME, Or EveN YeAR roUnD. in sOME places in ScandiNavia, partiCuLArLy in Norway, THe pRiMary meaNs of traNsporTAtion beTween commUnities is By Boat. eARly In aviation History, mAny of thesE CommuNItIes beGan To rely On CivIlian "Bush" piLOts, Who flY small AiRcraft And trAnSport supPlies, mail, and visiting docTors or NurseS.  BuSh pilots pRobABly Performed The fIrst civiliAn aIr aMbulaNce TRips, aLbeiT On An aD Hoc baSis—bUT clearly, a NEeD foR THeSe services eXISTed. in the EarLY 1920s, SwedEn esTablished a standinG Air ambulance syStem, AS Did siaM (thaiLaNd). In 1928 the first foRmaL, fULL-time air AmBulance servIce was esTaBLisheD in the austraLian outBACk. tHis orgAnizAtiOn became tHe ROyAL Flying doCtOR ServiCe
, an organized military ai r ambulanc e ser vic e e va cuat ed w ounded from th e  Spa nish Civil War for med icaltr e atme n tin Na zi Germ a ny ; thi sse rvi ce co ntinu edduringthe Second  Wo rl d War.

Thef ir st use ofmed evac with he lic opters  w ast he ev acu ation  of th r ee Bri tish pilo tc ombatc asualti e s  b y aUS Army Sikorskyi nB urma during WW 2, and  t h ef i rst  de dicated us eof he l icopter s  b y U .S. forces occurr ed during t h e K oreanWa r,b etween  1950  a n d 1 953. The Fr ench  used lig ht hel i copters in theFirstInd och inaW ar .Whi le pop u la rly dep icted as  s im ply r emov i n g casu alt iesfromthe battlefie ld(whi c h t hey d id),heli co pters  in th e Kor ea n War also move d cr itical pa tie nt s t ohospi t al shi psaft er init ial eme r gen cy t r ea tment in field hos pi t a ls .

Knowl edge a n dex p ertise o fuse  ofa i r amb ulan c es  evolved  paral l el  t o the a ir craftth ems elv es. B y  196 9, inVietnam,  theu se of speciall y  trained medi c al c or p smen  an d helicopte r ai r  amb ulan c es  le d  U.S.  rese ar c he r s to determine that  s ervice men w ounded in bat tle had be t t e r ratesof s u rv i val than motor istsinjured on Californ ia fr eeways.This insp i r ed the f irs t e xpe rim e n ts  with the use o f ci vi lian pa ram edics i n t hewor ld.  T he US mil itary re ce nt ly  e mpl oyedU H-60 Bla ck  Ha wk  he licop t ers to  prov ideai ra mbu lance s e rv i c e du ri ng  the  Ir aq  Warto m i lit ary per sonnel an d c i vili an s.   The u se of militar yaircraft a sbat tlefie l d  ambulan ces continues to grow a n d devel optoday  ina variety  of  count rie s , as d oes th e use  o f f i x ed-wi n g  a irc ra ft for lon g - dis tance  t rave l, incl uding repatriation ofthe wounded. Cu rren t l y,  aN AT O  wo rk i ngg r oup is investig ating unpi lo t ed  aerial ve h icl es  (UAVs)  for ca sualt y  evacua tion.

Ci vilian
Th efirs t civ ilian uses  of airc raft as a m bulan c es  were  pr obably  i nci denta l. Inn ort hernCanada ,Austra lia,an d in Sca ndinavian countries, re mote,spars ely  populate d s e ttl ements ar e of ten inacce ssi ble  by r oad for m onth s  a t a time,  ore ven yearr ou nd. I nsome places i n  Sc andin avi a , part icul arly in Norway, t h e primary mean s of t ran spo r tati on  between commu nit ie s is by bo at . Early inaviation  h i story , many  of th ese com m u ni t ies be gantorely on c ivi li a n "bush "pi l ots, w ho f ly  small  aircr a ft a n d  transport suppl ies,m a il, a n d v isiti ng  doctor s  ornurses.  B ush pilotsprobab ly p erfor med the  f irst c ivi li an air amb u lance tri ps, a lbeit o nan a d h oc bas is—b u t  clea rly,  a  ne ed for th e s es er vi c esexis ted.In  the  early 19 2 0s, Swed ene stablis he d a s tandin g  a i r  ambulance  sy stem, a s did Siam (Tha i la n d). I n 1928  the f irst fo r mal ,full-ti mea i r ambulan ce servic e  wa sesta blishedin  the  A ust ra lian outback. T his orga nization b ecamethe Roya l  Flyin gDoctor Servi ce
, an_organized military_air ambulance service evacuated_wounded from_the_Spanish Civil_War_for medical treatment_in Nazi Germany;_this service continued during_the Second World_War.

The_first use of medevac with helicopters was the evacuation of three British pilot combat_casualties_by a_US_Army_Sikorsky in Burma during WW2,_and the first dedicated use_of helicopters_by U.S. forces occurred during the Korean War,_between_1950 and 1953._The French used light helicopters in the First Indochina_War. While popularly depicted as simply_removing casualties from_the_battlefield_(which they did), helicopters_in the Korean War also moved_critical patients to hospital ships after_initial emergency treatment in field hospitals.

Knowledge and_expertise of use of air ambulances_evolved parallel to the aircraft_themselves. By_1969, in Vietnam, the use_of specially trained_medical corpsmen_and helicopter air_ambulances led U.S. researchers to determine_that servicemen wounded_in battle had better rates of_survival_than motorists injured_on_California_freeways. This_inspired the first_experiments_with the_use_of civilian paramedics in the world._The_US military recently employed UH-60 Black Hawk_helicopters to provide air_ambulance_service during the Iraq_War to military personnel and_civilians.  The use of military_aircraft as_battlefield ambulances_continues to grow and develop today in a variety of countries,_as does the use of fixed-wing_aircraft for long-distance travel,_including repatriation_of_the wounded. _Currently,_a NATO_working group is investigating unpiloted aerial vehicles_(UAVs) for_casualty evacuation.

Civilian
The first civilian uses of_aircraft as ambulances were_probably_incidental. In northern Canada, Australia, and_in Scandinavian countries, remote, sparsely populated_settlements are often inaccessible by_road_for_months at a time, or_even year round. In some places_in Scandinavia, particularly_in Norway, the primary means of transportation_between_communities is by boat. Early in_aviation_history, many of these communities began_to_rely_on civilian "bush" pilots, who_fly small aircraft and transport supplies,_mail, and visiting doctors or nurses.  Bush pilots_probably performed the_first civilian air ambulance trips,_albeit_on_an ad hoc basis—but clearly, a need for these services_existed. In_the early 1920s,_Sweden established a standing air ambulance system, as did Siam_(Thailand). In 1928 the first formal, full-time_air ambulance service was established in the Australian outback. This organization_became the Royal Flying Doctor Service