We need greater openness in medevac missions; these should allow for more dynamic work, like the initial Courchevel mission. We flew to an airfield near the incident and transferred to the nearest town with a general hospital, normally no more than 100 nm away. The TV series SkyMed is a great example. In Canada, medical emergency aircraft are used to access remote regions and respond to accidents, not just to transport a patient from airport A to airport B. Three-hour flights on a mission? We don’t want to do such long missions; we already have airliners for that.
Additionally, it would be interesting to incorporate HEMS (helicopter) missions with a work dynamic similar to that implemented by HPG on its H145, generating all kinds of nearby accidents.
And just dreaming, it would be super epic to once again have missions like the one we did in FSX with the EH101, where we pursued drug traffickers with US Customs Enforcement.
I want missions like real life helicopter LifeFlight missions… departing from a hospital in a bigger city, flying to an auto accident on a freeway/highway out in the boonies, landing on the roadway that the local deputies/troopers have shut down, loading up the critical patient, and returning to primary hospital, or maybe a different hospital.
Hell, I live in a smaller city, still have 3 hospitals, and have a dedicated medical bird. But more often than not, the bird stationed here isn’t to get people back to the hospitals here. We don’t have Level 1 trauma care. Bird is stationed here in case a patient at the local hospital needs a higher level of care, or, will go to the scene of an accident nearby and fly them directly to one of the larger cities nearby (2 hour drive time) as needed.
Would be cool to be situated/based ar one specific location within a larger town/city, and have missions from there. Mostly to serious accidents on highways, with the occasional landing in a remote pasture for a rancher who fell of the tractor and his legs got ate up by the shredder.
Ah, I just saw this over on Reddit. Apparently there’s a mod to do these style of missions. Unfortunately I am on Xbox, so this is not an option for me. But would still love to see Asobo eventually add something like this after they work out the kinks.
One problem with HEMS could be the lack of a fitting helicopter in the base game. The H125 is not usually used for that scenario you described. forget what I wrote. I forgot about the Bell 407. That one seems to be used for transporting patients. (At least more than the H125)
I don’t think there is much else that prevents these missions from coming in the future. Just use all helipads with some variation of hospital in their name and create accidents around them.
For Germany and surrounding countries there is a (unofficial) database of HEMS locations, probably exists for other countries too. https://www.rth.info/stationen.db/stationen.map.php
Something like this would be amazing for MedEvac missions for car accidents and the like. I remember seeing this bird all the time when I was a kid growing up in DFW
in Australia 
, they use default FS24 aircraft such as the Kingair 350i and Pilatus PC-24.
