Your in trouble..no matter what you do.
I don't want to comment on the both tasks.....
Therefore in general terms, one of the hardest and most challenging tasks of a "Highly" trained EMS or SAR crew, is when to say NO.
Generally EMS folk have pressures [real or implied] upon them, as they know that simply because they are called it means that someone believes an incident is severe enough to use this method of transport.......... the team is relying on them!!........it takes a strong and professional pilot to stay in bed.....!!!
SAR guys/gals are generally the same as EMS folk, but due to the low real work load, there can be a larger belief that ..."We are here to save you"....regardless if you really need saving....!!!
A helicopter can be prefectly suited for some rescue situations that clearly no other method is appropriate........however the helicopter winch, should be thought of as the last resort, rather than the first.
SARITIS.......is something that is real.