Interesting posts - thanks for the ideas.
To me this thread seems to be leaning towards recommending the medical side look at some way of factoring in a mode-of-transport risk decision track betwixt ambulances and helicopters rather than making such decisions based solely on the perceived medical necessity of transport time savings. Hope that makes sense!
I certainly agree there is a general death of common sense at play in this HEMS industry when it comes to overall risk assessment and decision making by a lot of folks involved, at all levels;and I think folks on the line like us are the only ones capable of pointing out the real problems and possible solutions.