Hey guys, So i work as a FAE-Medic for a very rural fire district in San Diego County. We have a minimum ground transport of 50-60min by ground to the closest receiving, 1.5 hr to STEMI, over 2 to trauma/Stroke. We obviously fly anything critical, but my question is this. How do you guys feel when you get flights for so-called borderline patients. The managers at the HEMS companies tell us to always use them, but i know that's most likely profit driven. We have flown patients with resolving neuro symptoms or traumas that meet criteria but really don't have major injuries or even symptomatic presumed cardiac chest pain. Pt's that in the city would not go to code to the ED, but out here get a helicopter. I guess what I want to know is how do you flight crews see these patients in terms of necessity or are we just over triaging.