BlackFly eVTOL EMS aircraft
AAM x EMS — PAO as a Service

Public Aircraft Operations for Emergency Response

The first operational framework for eVTOL and drone-first response. We build the program so communities can fly.

AKUTE is a 501(c)(3) nonprofit. We work hand in glove with the public agencies we serve.

First
PAO eVTOL program in the nation
Hyde County, NC — operational 2026
<4 min
Early care target
Full stack
CONOPS · FOM · Training · Software · FAA coordination

911 Was Built for a World That No Longer Exists

Centralized dispatch. Ambulance-only response. 8-20 minute wait times in suburban and rural communities. Cardiac arrest survival sits at 10%. The math is brutal: halving response time requires 4x the resources. A national 4-minute standard would cost $1 trillion annually.

You can't solve a speed problem with more vehicles.
8-20 min
Current EMS Response
<4 min
Early Care Target
10%
Cardiac Arrest Survival
$1T
Cost of National 4-Min Standard
80+
Pages in CONOPS V1.0
March 2026
FAA Site Visit
36 of 36
Oregon Counties are ambulance deserts

A New Operating System for Emergency Response

Akute builds the complete PAO program stack — CONOPS, flight operations manuals, training programs, dispatch software, and FAA coordination — so communities can deploy eVTOL aircraft and drones for first response under Public Aircraft Operations authority.

Not a product demo. A full operating program.

911 NEO Response Flow

An intelligent dispatch network that coordinates every response asset in real time.

🆘
911 Call
0:00
NEO Triage + Telemedicine
AI-assisted triage · Video/audio with caller · Protocol-driven dispatch
0:05
🛸
DFR Drone
AED · Epi · Naloxone · Comms
Live video to medical control
~2:30
Payload on scene
🏃
Community Responder
Trained volunteer nearby
Guided to patient by NEO app
~3:00
Meets DFR · starts care
🚁
eVTOL + Ambulance
Paramedic transport
Advanced life support
~8:00
ALS transport
0 min 2 min 4 min 6 min 8 min
Triage
DFR arrives
Responder + DFR
4-min target ▲
ALS arrives
💡
The marriage: DFR delivers the medical payload. A community responder — already nearby — administers it, guided by telemedicine. Care starts at <4 minutes, long before the ambulance arrives.

What We Build

CONOPS & Regulatory

Concept of Operations, PAO Declaration, FAA coordination, gap analysis, and the regulatory framework for powered-lift first response.

Flight Operations

Flight Operations Manual, training syllabi, pilot evaluation standards, maintenance protocols, and energy management procedures.

911 NEO — Dispatch Software

Next-generation dispatch platform coordinating community responders, EMS drones (DFR), eVTOL aircraft, and ground units through a single intelligent network.

Digital Twin & Scanning

High-resolution aerial mapping of the entire Area of Operations — terrain, obstacles, landing zones — powering flight planning and autonomous operations.

Proving It in Hyde County

Hyde County, North Carolina is the first community in the nation to stand up a PAO program for eVTOL emergency response. Working with Hyde County EMS, Code Blue Resources, and Pivotal Aero, we built the CONOPS from scratch and are now developing the program.

PAO Declaration — signed
FAA engagement — ongoing
CONOPS V1.0 — 80+ pages
Drone scanning of full AO — underway
Pilot training program — in development
Hyde County EMS Flying Firsts 2026 patch

PAO as a Service

Every community that wants eVTOL first response faces the same challenge: how do you build a program from zero? Akute's template system — born from the Hyde County pilot — gives you the CONOPS, FOM, training manual, and software as a reusable framework. Plug in your community's variables and go.

Who We Are

MT

Mathias Thomsen

CO-FOUNDER AND PRESIDENT

Mathias is a founder and operator with deep experience scaling complex, regulated technology platforms. He has led autonomous mobility, marketplace, and infrastructure businesses, with prior leadership roles at Uber and as CEO/co founder of venture-backed companies.

LinkedIn →
JE

Jonathan Evans

CO-FOUNDER AND AVIATION DIRECTOR

Jonathan is an experienced HEMS pilot and active flight instructor with deep operational credibility in air medical services. He is also a successful exited tech CEO and a leading expert in Advanced Air Mobility, with prior roles spanning US Army aviation, Life Flight, Skyward (acquired by Verizon), and direct collaboration with NASA on next-generation aviation systems.

LinkedIn →
TM

Travis Mason

POLICY AND REGULATIONS DIRECTOR

Travis is former Chief Policy & Regulatory Officer at Merlin Labs, where he led autonomous flight certification through the FAA. Previously at Google's Project Wing and Airbus as VP of Certification & Regulatory Affairs, he brings deep expertise in autonomous systems, advanced air mobility, and successfully navigating complex regulatory frameworks—ensuring AKUTE's emergency response systems meet all safety and compliance requirements.

LinkedIn →
BO

Bri O'Neil

SYSTEMS ENGINEERING DIRECTOR

Bri is a transformational engineering leader with 10+ years of experience in uncrewed and safety-critical systems. She has led the design, certification, and integration of UAS C2, communications networks, detect-and-avoid systems, ground control stations, charging infrastructure, data platforms, and flight-test systems across civil aviation, defense, and robotics, with deep engagement with the FAA.

LinkedIn →
HI

Holly Ilg, FNP-C

EMS MEDICAL DESIGN ADVISOR

Holly is a critical care nurse practitioner and former flight paramedic with over 20 years in emergency and air medical services. She flew with Life Flight Oregon and has since led transformative EMS innovation — most recently designing and implementing Portland Fire & Rescue's 911-level substance use intervention program, which demonstrated $10M in annual healthcare system savings. Currently completing her doctorate at University of Portland, Holly brings Akute the clinical protocol expertise and field-tested judgment needed to design effective, safe first-response systems.

LinkedIn →

Start a Conversation

Whether you're a county EMS director, a state agency, or an aircraft OEM — if you're thinking about PAO for emergency response, we should talk.

info@akute.org