In Hyde County, a paramedic now answers emergencies by air. Akute is the nonprofit that makes it reachable for counties and towns that could never afford a legacy air program — the infrastructure, standards, software, and services to fly advanced aircraft and drones, built and owned as a federated network of agencies.
Advanced aircraft are ready for everyday emergency response. What's been missing is a way for a public agency to operate them — legally, safely, and affordably. That's what Akute builds.
A paramedic who flies to the scene covers four times the area, twice as fast, at a cost comparable to a ground quick-response vehicle. In a cardiac arrest, minutes are the treatment.
AEDs, epinephrine, and blood delivered ahead of the ambulance — with a live telemedic guiding bystanders until the crew arrives. The first minutes of care, before the first unit is on scene.
Public helicopter capability for counties that could never afford a traditional air-medical program — public aircraft, public mission, operated under the county's own authority.
Modern simplified aircraft can be flown by trained paramedics and deputies — not a scarce class of career pilots. Standby costs less, launches happen faster, and more lives are saved.
Akute OS is where the standards, safety cases, and operational controls of a Public Aircraft Operation live as working software — not binders in a drawer. It's the shared platform the whole federation runs on, so what one county learns, every member inherits.
Your agency holds the authority; Akute OS carries the operational weight — mission authorization, airspace, training records, and compliance — kept transparent and auditable, and shaped by the members who fly on it. Collaboration and trust, made operational.
On June 27, 2026, Hyde County, North Carolina flew the first mission of a new kind of public aircraft operation. It's the proving ground for a model built to travel.
Come see how the first PAO of its kind is actually flown.
Visit the Hyde County program →
Akute is a 501(c)(3) nonprofit. We work as an Aviation Program Manager: we build the standards, operational control, and software that let a public agency adopt advanced aviation safely and lawfully, and we operate that layer on the agency's behalf.
The legal authority to fly — Public Aircraft Operations — stays with the public agency. Because we're a nonprofit, our incentives are aligned with saving lives and serving communities, not with selling a product or returning capital to investors.
Every station, landing zone, and airspace integration built for 911 today is the groundwork for public air mobility tomorrow — and every emergency flight builds the trust, standards, and network that make it possible.
Door-to-door travel time cut by up to 50% across the region.
Electric, quiet, and built for communities.
FAA-aligned automation and certified public operations.
Accessible, affordable, simple to use — a public network, not a luxury.
Tomorrow: ride to your local station → fly across the region → ride the last mile.
Agencies join and shape the shared infrastructure. Technology partners build with us. And donors fund what the market won't.
Counties, EMS agencies, fire departments, and sheriffs: become a member to reach the shared infrastructure, standards, and software — and help shape them. From the white paper to a full public aircraft program of your own.
Explore membership →Aircraft makers and technology companies: work with the team defining how advanced aircraft enter everyday public service.
Partner with Akute →Philanthropy funds the standards, aircraft adaptation, and operating model that no market will build. Your gift becomes capability that saves lives.
Support the mission →