This service is not offered in the US anywhere and only offered on some international flights. It is often cost-prohibitive and very uncomfortable for our patient. A platform is set up on the backs of seats in the Economy class section and a gurney is placed on the platform. This allows for little room between the patient and the luggage compartment above. It is generally not recommended for the following reasons: The airline stretcher kit has a narrow frame and thin pad. The patient is required to have several straps across their chest and legs and cannot be turned or repositioned due to the narrow width. The stretcher head and back support rises approximately 12 inches, preventing the patient from sitting fairly upright to assist with respiratory efforts. The stretcher is located along the window, limiting the nurse to care for the patient from one side only. There is a privacy curtain, but the patient must be viewed by our nurse at all times, exposing their care to multiple passengers.