Turkey - Australia has the advantage of an authority that uses common sense. Your SAR/EMS ops have no accountability below Vy.
Having flown SAR/EMS in Australia and SAR and HEMS (separate entities as you know) in UK - I know which system is by far the most sensible operationally. BUT just ask yourself when you are taking off or landing on that hospital rooftop helipad or in a 100' hover winching - 'What would happen OEI?'
Mostly you would end in in a smoking hole in the ground. In UK SAR and HEMS are not expected to be exposed to that situation. CASA apparently judge that to be an acceptable risk. That is why you operate SAR/EMS combine and why you can fly around happily at MTOW.