You reckon maybe....the aircraft being used for EMS in the States are underepowered if you have to limit the pilot weight (including all gear...helmet, flight suit, cold weather gear, flight bag, torch, etc...) to 180 or 195 pounds. Maybe,they are using the wrong aircraft for the work?
Lets have a debate over the suitabliity of the JetRanger L series....L through L3 for this kind of work in high, hot areas....into unlit confined areas at night.
That would be the better question.