As a paramedic and a longtime SAR vollunteer, here's some things to think about
Keep in mind that helicopters should only be called as medical necessity. In 50 years of aeromedical rescue services in the U.S. they have killed as many people who would have lived as they have saved those who would have died. Statistically it is a wash. If however there is an injury that needs to be treated in a time critical manner, and the helicopter offers the savings and all goes right with weather and mechanical stuff helicopters can be great. When I am on scene I call a helicopter only when I am sure it is the right move for my patient. I have had 3 good friends who were medics killed in helicopter crashes transporting non-critical patients.
Also, realize that when a rescuer calls for a helicopter they cannot stipulate a particular service, there is a good chance that the ship that responds might not be a member of the network. Each network would have its own rules concerning a private party dispatch. I have never heard of somebody doing that (i.e. dispatching an aeromedical helo by say a sat phone) but each service does have a number, that is mostly used by hospitals looking for inter-facility transfers. It would be worth looking into if one was to buy a subscription. If an individual calls 911 and requests a helicopter the request will first go to the sherrif's office or the local EMS or fire dept. They will make the decision on what gets sent, and again it will be the closest apropriate ship that goes, not the one that is a member of the network. The point is moot if all of the helicopters in a region are members, this is not true in Colorado, as far as I can tell.
And finally, there are two different missions that come into play with downed aircraft. Search & Rescue. In Colorado, in order to have the search paid for you have to purchase a CORSAR card or have a hunting or fishing license in your name. The CORSAR card is $3 for one year or $12 for 5 years and is well worth it. Some states supply search services without charge others rely on some sort of buy in, check out your states deal.
Its a big step as a pilot to just talk about all these things. I am convinced the more you run through what ifs in your head the more you'll be prepared when something happens
Brad
