Who are you to assess risk on the basis of patient age, colour, sexual orientation or creed.
This is a fundamental of HEMS operations worldwide and is why the US HEMS industry is on the verge of being closed down.
You as a pilot make your risk assessment based on aviation matters not medical matters.
Would you accept higher levels of risk for
A box of rocks
A child
A gay person
A person of colour
A person of age
If your answer differs for any category then your risk assessment is corrupt.