20 - minute chopper? Sir, the flight crew has to scramble and do a pre-flight check before they get off the ground, if there is even one available. It would be extremely rare to get a chopper on site so fast in a remote area, especially where no organized helipad is available. SAR may or may not be government or law enforcement based but they often at least First Responder trained. Usually BLS in there, and sometimes you'll find some ALS.4 hour drive up to the spot vs 20 minute chopper. The SOS from a SPOT sends out SAR, SAR didn’t know to bring medivac, repellers, litter crew… ect ect… all of this is part of the required request for equipment we ask someone calling in for help, along with the best coordinates for evac (both ambulance, helicopters, bush plane, ect).
Whoever calls out this "20-minute chopper" of yours needs to be recognized EMS and have the authority to communicate directly with the hospital Medical Director or E/R doctor.
And you are talking about wood cutters in what I believe is 3,500 feet or more of hilly, woody terrain. Somewhere in there, an appropriate landing pad has to be found or cleared.
It's not always a quick operation to get a chopper out, and that determination is not made by laymen, is what I am saying.
4 hours drive might be 200 miles - I know I'm making some presumptions there...a medflight does what 155 knots? So maybe 170 mph or so. So that flight sounds more like an hour than 20 minutes. Again, I'm no expert, though.
Dont get me wrong. I agree with you that proper, speedy medical care is very important and with a bleeding head injury time is of the essence. I just disagree with you that from the time a call is made from the scene, to chopper on site time, is usually not going to be 20 minutes unless there is a chopper just returned from service, just cleaned and sanitized, and a fresh crew waiting. And a landing pad cleared in a hilly, mountainous, forest-strewn area.
There have actually been studies that indicate it is possible that, once called to the scene where ALS is summoned, there is a higher risk of patient death. The question has been, is that due to the more serious nature of an injury that requirs ALS, or is that due to ALS spending more precious time on scene with the patient before transporting to an appropriate facility?
I do like the idea of a radio. I also like the idea of a PLB. Seems smart to me. So smart that our local fisherman fleets carry an ocean-going type. Because a vessel sinking could all happen so fast that a radio becomes a moot (mute, in this case) point