Maine EMS recognizes that unstable patients need to be transported to higher levels of care. EMS transports will still occur that do not qualify as a PIFT transport just as they do today with additional staff in attendance of the patient (i.e. RN/EMT-P team). The desired result for all parties involved should be transporting the patient safely. To that end, the PIFT paramedic has been asked to work with the sending facility to arrange additional therapies to stabilize the patient, arrange for additional personnel resources from the EMS agency, or request additional personnel from the sending facility (RN, RRT, etc.) based on what is most clinically appropriate in the situation.