Rotorspeed,
Patients die enroute (never admitted to anyway.....due to legal issues with place of death and legal jurisdicitional issues) but no matter how you slice it....the patient was alive when loaded and dead when unloaded at the scene. Ergo....a fatal accident.
When we take people aboard our aircraft as passengers they expect to make it to their destination. If for some reason, we crash a helicopter and they die.....that is a lick on us and goes under the EMS Helicopter Fatal Crash column in the statistical data base.