AA 's and Hoisting
About the only justification I can see, having experienced both SAR and HEMS environments, is to use the hoist to insert the medical crew where landing is not possible.
I agree with CRAB that any subsequent lifting of a stretcher patient should be left to a properly trained SAR crew.
It may not be appreciated by the general population that the single greatest contribution to a patient's survival is the delivery of stabilising medical care delivered by trained doctors and paramedics. Subsequent transportation is rarely essential.
On the basis of risk/benefit the use of a hoist to deliver the medics is justified but that does not mean that it can be done without taking on the burden of some expensive training. During HEMS ops you can work outside the OEI HOGE envelope but as CRAB reminds us the training environment must be kosher OEI proof. Can a fully loaded 145 do that? Good question.
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