Hey "S8" I'd say that an all Helo op down in '2 headed land' would be a mistake.
Lots of lovely ice at low levels, no Alt's available that the Helo could plan too due distance (off island) & a higher specialized maint, all adds up too BIG dollars:-)
Still dumber things have happened in aviation b4:-)
'OS' sometimes we get caught out with Med 1. I can recall in the middle of the night there a few years ago I had the Med team on board to go save some dumb ass and about to depart rwy 26 @ EN when I got told there would be a delay of around 5 mins due international traffic sliding on down the 16 ML ILS & they needed to protect the overshoot area (of which I would have crossed on departure). I didn't go as Med 1 at first thinking that nah who would be out here at this time of night to hold us up? So from now on even if the Dr needs a P1ss then it's Med one all the way
Kidding:-)
Wmk2