TTT
You have hit the nail on the head, I believe. Train the Paramedics to anaesthetise and deliver RSI, they are well up to that job. Also increase the meds they can give to include Morphine. Doctors not then needed on the Air Ambulance freeing them up, cost savings all round, increased paramedic skills and still a good level of pre-hospital care for patients.
My two-penny worth after reading this interesting thread.