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I equate patient care in the back of that Bell 407 to trying to manage a critical patient in the backseat of 67 Volkswagen bug. It's about that loud and there's about that much room. Short of ventilating the patient and providing additional sedation during the transport, there's really not a lot of room for anything else. The general rule of thumb is, "get it done before you get off the ground".
I've never flown in a 407 but I spent years in a BO105, so I know all about tight. If you did it regularly you'd get used to it. You'd find ways to start lines and do whatever else you need to do. You get used to the noise and stuff, too.
Interestingly, that's one of the stories behind our service wearing flight suits. Many years ago there was talk of having us staff the DSP helo as the medics, so the entire department was fitted with flight suits. That plan fell through, but the somebody liked the look, so they stayed. We still wear Gibson and Barnes nomex flight suits as our daily duty uniform.
Nice. I'd actually prefer EMS pants (or shorts, in the summer) and a polo, but flight suits do look sharp. I have a handful of them in my closet still.