A 14-year-old boy managed to escape being pinned to fence by a pickup truck in Mississauga without any injuries.

So why was he airlifted from the scene to Sick Kids?

By Friday night, it was still unclear who had called Ornge in.

Tom Kukolic, Acting Commander with Peel EMS says that decision can come from 1 of 2 places--the scene itself or from local ambulance dispatch.

An Ornge helicopter could be sent to pick up a patient without them having been examined by paramedics based on details available in the initial call for help. Though Kukolic didn't know if that's what happened Friday afternoon, he says it would be "a reasonable assumption" that someone pinned between a car & a fence would be in serious condition.

Paramedics responding to an emergency could also call Ornge in after assessing a patient at the scene.

Ornge doesn't seem to question where & why they're dispatched. Their policy according to a spokesperson is "launch when requested".

It costs $7, 000-$9, 000/hr to keep an Ornge helicopter in the air.

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