The helicopter EMS industry is struggling with a high accident rate. Several months ago the NTSB published recommendations ranging from equipment requirements to increased training. There seems to be no doubt in the helicopter industry that the FAA will mandate one or more of the NTSB recommendations this year. In the past the FAA has been reluctant to act; however, the feeling now is if the FAA does not come out with something strong to stop the accidents, Congress will.
In my opinion, increasing the amount and type of training will do the most good. Using technologies such as HTAWS and NVGs are helpful as well, but I think the most benefit will come from better training.
EMS is a tough business with lots of cost pressures, and spending more money on training can be hard to justify sometimes. I was told by one EMS vendor that watching costs was paramount to survival, if he couldn’t bid a competitive price and lost contracts they’d be out of business.
An interesting dichotomy was when I flew a corporate helicopter. I was trained at FlightSafety every six months and could take the helicopter (a Bell 430) out once a month to practice. The corporate mission was nowhere near as demanding as EMS flying, yet there was considerably more emphasis placed on training. Sometimes I wonder if the difference was because the person who ultimately approved the training budget also rode in the back of the helicopter. Those passengers certainly had a vested interest in the proficiency of the pilots.
It will be interesting to see what the FAA does. If operators can afford the technology and the increased training then that’s the best scenario. However, if it’s one or the other I believe the best improvement in the accident rate will come from enhanced training.