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That gave rise to the creation of the flight nurse, who had to be aware of many things other than caring for a patient on the ground.

The pilot and both Air Evac Lifeteam crew members, a flight nurse and a paramedic, were killed.

Crews consist of a pilot, a flight nurse and a flight paramedic.

Care Flight, which provides ambulance service by plane and helicopter, identified the downed aircraft as a Pilatus PC-12 and said the pilot, a flight nurse, a flight paramedic, a patient and a patient’s family member all died.

Robin Hays, a Stagecoach resident and a former flight nurse, said she heard the sputtering plane fly over her house before crashing behind her property.