Emergency Air Ambulance: Two providers, healthy competition? 

Sometimes a Coulee Medical Center patient needs to be transferred to specialists or trauma care at a larger hospital, in a city such as Spokane or Seattle. In critical situations, air transport may be deemed medically necessary to save a life or limb.

At that point, emergency room staff start making calls to one or both of the competing EMS programs covering the Coulee area.

One program is called...