Sounds good in theory, but the entire system is different in the US. In the majority of places, the Helicopter service is an independent, private company with no connection to the local agencies. (There are some government agencies that staff HEMS, but they're few and far between) We don't have a clinically trained person at our dispatch centers that can make care guided transport decisions. They follow a simple decision tree. And as for best resources, in many cases, it's either a ground paramedic or a helicopter. Most helicopter services here don't staff with a doc. A flight nurse and Paramedic is the usual crew. Most locales don't have a physician or critical care team to send as a ground based unit. Another huge disparity between EMS in the US vs the European model.