Problems with RW AAs look to be not just a problem in the US.
As the rotary AAs tend to be immediate primary transport I suspect there could be allowed to develop a mentality of 'there's a patient waiting for us', were as I work mainly in secondary transfers where the patient is to a degree stabilised in a hospital prior to us being activated.
Exhausted paramedics fear for patients at understaffed rescue helicopter service In this situation could the pilot actually say I'm not flying with xxxx as they are too exhausted to be safe on the aircraft and may put themselves or others at risk. Would this be within the responsibility of the aircraft captain?
With the company I work for we do trust our pilots implicitly and I've been into some 'interesting' places.