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well when I was in a car crash, a little girl had to be air lifted. the ambulance people thought she had fractured her skull. so you would have to be really badly hurt or unconscious to be air lifted.

Sometimes the choice to airlift a patient is also made depending on where they were injured. Someone breaking a leg would normally get an ambulance ride, but if they did it in a rocky, hilly area with no road access, then they would be air lifted.

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