jay,
Unless the photo is completely deceiving....just down the road in the back ground....the valley opens up and I would bet you a doughnut to a dog dropping (you can hold the stakes in your mouth if you wish) there is a common ordinary flat and open spot adjacent to the road where a normal landing could be made. The Patient could be transferred to that spot by ground and then air lifted to the Trauma Center.
If your Risk Assessment allows for a such a precarious landing....why even have such a system in place.
Otherwise....perhaps....you would have grasped the merit of not taking the risk of adding to the situation by pitching the helicopter into the middle of Emergency Crews at an already bad scene should something have go wrong with the landing.