FWIW, not just any helo pilot is hired here to fly medevac, most are ex-mil. as well here stateside.
IMO as a former flight paramedic, that LZ depicted is way too hazardous and I would have waved the pilot during a recon. fly over and went to a different location. I have 2 kids and a wife, im going home in the morning.
Having said that comparing EMS in the UK to the US is night and day, and that isnt even doing it justice. The UK is light years ahead of us in every single part of prehospital care it isnt even funny. There are so many helo crashes in the US because people whom have no business riding ambulances call for helicopters for every MVC with more than a dented bumper. The abuse of helicopters by prehospital workers here is staggering.
Amen brother. As a person who worked for a service that experienced a crash I agree with everything you've said. We didn't lose any staff fortunately, but it did hit damn close to home.