I agree about the nomex, helmets, and other crap. IMO they cause more accidents/injuries than they prevent. There are few, if any, survivable helicopter accidents in which nomex or helmets prevent injury. The heat they hold in increases fatigue and distraction, and these can lead to an accident that would otherwise not happen. It's all image, not safety. Sitting on a hot Texas highway in the summer, with the cockpit temp well over 100, with Nomex and a helmet, you can easily get heat fatigue before the med crew gets back with the patient. Let me wear comfortable cotton clothing, low shoes, and a lightweight headset instead of all the fancy clothes and I'll be a safer pilot. The problem is, CAMTS requires all this stuff, and we must all bow down to the CAMTS gods. They're clueless but powerful.