The US EMS Industry continues to kill crews the same old boring ways....year after year....
Actually, if you read a few accident reports, you'll see that this is true of the helicopter industry worldwide, not just U.S. EMS.
On a related front, TAWS, TAS/TCAS and NEXRAD in-flight wx have become so inexpensive in the last decade that it is unthinkable to me that any commercial operation would fly without these important safety tools. Not as good as two pilots, but very useful.