Maybe. Urgency should not trump safety. A delay in transport is not worse than a dead patient, dead medics and flight crew, and loss of an aircraft.

And I am happy to be corrected but as I understand it, in the rural west more medical transport than you might think is by air. Distances are large, and population is sparse. You can cover more area with the same number of medics using a few airplanes instead of ground ambulances. So not all air ambulance service is critically urgent, unlike what we are used to in more populated areas.