More intensive than Advanced Life Support. This level of in-transit medical care requires the presence of several specialized medical personnel and equipment arrays, depending upon the specific need of the patient. Some examples of this level of care are those requiring intra-aortic balloon pumps or ventricular assist device/s, neonatal ICU transports, High Risk Obstetric patients, and many pediatric intensive care situations. Due to the specialized equipment and crew, this transport may only be accomplished in a Med Flight Air Ambulance aircraft.