vfrpilot
Don't be put off by DW transitions, sometimes they are the only option - but always think far enough ahead so you have as many options as possible....
Is it safer to t/o into wind but over a substantial infrangible object - or depart downwind over a clear area?
Personally, I'd always go for the clear area.....with only one engine, one can sometimes lose the big picture!
With all the other good points raised, don't forget the downwind wind limit for B206 - 17kts
Must admit, bit surprized to hear our EMS pilot restrict his 2-eng, dw approaches to "life and death" tasks only! That's not meant as a side swipe, just surprized, that's all.