I know BCAS, and AHS both use MSat to supliment thier respective radio networks in the northen parts of BC and Alberta. I would imagine other ambulance services use it as well across Canada. MSat uses a geostationary satillite, and can be used for phone calls and/or PTT service.
It is the same service that they use in the Bering Sea on the crab boats on Deadliest Catch.
It's not scanable directly, but as Jay said it is able to be heard when interfaced directly to LMR radios.
For other applications i habe seen both a hand held PTT controlhead as well as an old school, full duplex 'cell style' handset installed together.
The down side to MSat is that it is the better part of half a second of propagation delay, makes it hard to have a full duplex conversation.
Gotta remeber the delay when making phone calls! Globalstar and Irridium are better choices for sat phone service in that regard.