Some patients may need the help and support of ICU ambulance as per their condition even if it is a discharge case too. This case is shifted from Parumala hospital ICU to patient home at Karunagappali, This is a discharge case from hospital but the patient is taking breath with the help of bipap ventilator, That's why this discharge case is transported in LEVEL D ICU Ambulance of Ennance Emergency Service. Ennance Ambulance Service's main goal of critical care transfer is to maintenance high-quality care while moving the patient to an appropriate location, in an expedient and safe manner.