tottigol- Ten years in twins, flew them every duty day. Quite comfortable in them, don't fool myself about the issues of having 2 engines, and in the right situation, prefer twins. This job (EMS) is not, generally speaking, that situation.
Also, at various times, IFR crew. I'm not arguing against the advantage of IFR or IFR equipment in EMS. I would love to have the options proficiency, currency, and equipment would give me on my next IIMC encounter. I'm saying those aircraft, twins and IFR equipped, are at least proportionally represented in EMS accidents- they're not the answer. The common element is human failure. The obvious physiological issues that would explain the increased rate of error in EMS night flying need to be addressed.
430EMSpilot- You bet, we have some top notch folks. I would dearly love to have them as pilots who teach, not managers who fly.