My comments assume CFIT based on previous events, the report doesn’t give info on the moonlight so it might not be a factor.
It amazes me that air methods haven’t done anything about the NTSB recommendations, why wait for an FAA directive? I suspect money is the driver, I couldn’t imagine any other reason for not following the recomendations aside from it costing money. As pilots we throw ourselves to the wolves regularly, but I’m surprised air methods can get any medical crews to work for them with the quantity of incidents they have. In a litigious society surely the cost of fitting the equipment recommended by the NTSB would be less than the legal action which surely must follow from family & friends?
103 fatalities in 10 years, 49 of whom were on board. Wow, that’s surprising. I don’t recall hearing about a lot of people being killed when a helicopter fell on them, I’ve obviously been living under a rock.