New Mexico King Air Medical Flight Fatal, Four Dead, 5/16/2026

Personal note: Why a 51 nm flight, with the delays at both ends, when driving is ~1:30?
Multiple reasons. There are procedures that air med can do that some ground crews can’t. There are drugs / products that air med can carry that some ground crew don’t. There is a gross under staffing in a lot of EMS stations these days. You have contracts involved where a ground ambulance cannot go out of county or only X number of miles.

The days of choosing air over ground simply because of speed are long gone.
 
One additional factor on air over ground to be considered is the final destination of care facility. If it was headed to Albaquerque, +3 hrs by the ground. Total times maybe a wash when all options are considered.Tragic for many involved.
 
The days of choosing air over ground simply because of speed are long gone.
Not to derail the thread early, but… :rolleyes:

Even the reasons to call an ambulance have changed. 50 years ago when my dad was a volunteer fireman/ambulance driver, you took an ambulance to get to the hospital faster. “Drive faster, Wayne, he’s getting worse!” Today the ambulance has equipment to sustain life, or even resolve the problem without even going to the hospital. My mom had an issue that boiled down to, “we can shock your heart and fix it,” and she stayed home.
 
Not to derail the thread early, but… :rolleyes:

Even the reasons to call an ambulance have changed. 50 years ago when my dad was a volunteer fireman/ambulance driver, you took an ambulance to get to the hospital faster. “Drive faster, Wayne, he’s getting worse!” Today the ambulance has equipment to sustain life, or even resolve the problem without even going to the hospital. My mom had an issue that boiled down to, “we can shock your heart and fix it,” and she stayed home.
But in this instance they hadn't picked up the patient. The only members that perished were air crew members. So we don't know final destination
 
But in this instance they hadn't picked up the patient. The only members that perished were air crew members. So we don't know final destination
Exactly, destination or level of care required. Trying to figure out how they overshot final for ILS and kept descending.
More of a challenge to see what happened on the approach than reason for the flight.
 
There is a gross under staffing in a lot of EMS stations these days.
No buck no Buck Rogers. In my wife's setting (hospitalist vampire shift) the differentials are significant between day, evening,and overnight shifts, especially overnight+weekend. It's like 22K pre-tax for the same job and experience, which at the sub 6 figure pay rates, it represents a large (25%+) bump.

Personally I don't find that worth the trash schedules, and most people do accept lower pay to be able to have a diurnal life. "Nuclear material can only be flown" outliers notwithstanding, I'm just saying there's a problem when dispatching a king air at 4am to hop a hill pencils out more than an ambulance, because the latter "can't be staffed" in the middle of a doo doo national economy where the under-25 unemployement closer to 10%, and that's what the govt is willing to publish mind you. Our healthcare revenue distribution is hella broken. Probably gives aviation pay distribution per-sector a run for its money. A double whammy for healthcare dependent part-135s (EMS).
Exactly, destination or level of care required. Trying to figure out how they overshot final for ILS and kept descending.
More of a challenge to see what happened on the approach than reason for the flight.
Not that complicated. Same as always. WOCL is trash, people dismiss the degree to which people can reliably operate single pilot at these hours while attempting to maintain a diurnal domestic life the rest of the month with the people in your life, family or not. Add low yearly block on the instrument cross-check proficiency front, and it's all a game of dice. Nothing that can be proven in court of course, so you'll just have to imagine what it's like, if you've never had a job where you rely on this swip-swap day week/night week circadian wrecking ball to put food on the table.
 
rely on this swip-swap day week/night week circadian wrecking ball to put food on the table.
I've never understood how people can operate like this regularly. Sister's boyfriend is C90 atc and he seemingly never keeps the same schedule.
 
No buck no Buck Rogers. In my wife's setting (hospitalist vampire shift) the differentials are significant between day, evening,and overnight shifts, especially overnight+weekend. It's like 22K pre-tax for the same job and experience, which at the sub 6 figure pay rates, it represents a large (25%+) bump.

Personally I don't find that worth the trash schedules, and most people do accept lower pay to be able to have a diurnal life. "Nuclear material can only be flown" outliers notwithstanding, I'm just saying there's a problem when dispatching a king air at 4am to hop a hill pencils out more than an ambulance, because the latter "can't be staffed" in the middle of a doo doo national economy where the under-25 unemployement closer to 10%, and that's what the govt is willing to publish mind you. Our healthcare revenue distribution is hella broken. Probably gives aviation pay distribution per-sector a run for its money. A double whammy for healthcare dependent part-135s (EMS).

Not that complicated. Same as always. WOCL is trash, people dismiss the degree to which people can reliably operate single pilot at these hours while attempting to maintain a diurnal domestic life the rest of the month with the people in your life, family or not. Add low yearly block on the instrument cross-check proficiency front, and it's all a game of dice. Nothing that can be proven in court of course, so you'll just have to imagine what it's like, if you've never had a job where you rely on this swip-swap day week/night week circadian wrecking ball to put food on the table.
Yeah my medcrew was just talking about the pay differences for nights today. More pay and if it’s an open overtime shift, $500-750 bonus on top of that. It’s cut throat these days. Pilots / medcrews jumping ship left and right to go to any program paying more than ours. The whole industry is short staffed.
 
Reading reports of controller advising possible GPS disruption in the area and pilot reporting they lost GPS and were climbing.

“
Air traffic control audio also reveals potential GPS issues during the flight. In a recorded exchange, a controller warned of earlier GPS disruptions in the air space.

Minutes later, the pilot reported their GPS had failed.

“We did lose GPS, so we’re heading up one one five right now,” the pilot told air traffic control in a final transmission
 
I flew through NM a couple weeks ago, at night, me and a bunch of other aircraft on frequency “lost GPS”.

The military really needs to stop playing around constantly. Can’t they do this over the ocean or something?

With today’s modern avionics, you lose quite a bit of function when GPS goes.
 
Personal note: Why a 51 nm flight, with the delays at both ends, when driving is ~1:30?
I didn't notice the 1:30 mentioned in the article (thought I only scanned it quickly). But is that one way that you looked up on Google Maps or did they state it? It may have been 3hrs if a properly equipped ambulance had to driver out there and back. A lot of small rural teams may not have the equipment necessary.
 
I flew through NM a couple weeks ago, at night, me and a bunch of other aircraft on frequency “lost GPS”.

The military really needs to stop playing around constantly. Can’t they do this over the ocean or something?

With today’s modern avionics, you lose quite a bit of function when GPS goes.
And you can’t fly without GPS?
 
I have not flown with the newer avionics systems. How does loss of GPS stop the on-board radar from painting weather? I can see the moving map, TAWS, and ADSB not working. Loss of GPS in our mid 90's Citation, Primus 1000, GNS750's, it is no big deal.
I can fly, but lost weather radar, TAWS, ADSB traffic…. These modern aircraft are very GPS integrated.

It’s not an emergency, but it absolutely takes safety down a notch.
 
How does loss of GPS stop the on-board radar from painting weather?
Two ways it can go dead:
1. The display uses GPS to "stabilize" the radar image.
2. The radar itself uses GPS to build a 3D weather volume from multiple scans, allowing a better view of what's going on.

In case 2, I know 100% that the display will go dead if you don't have a valid position source.
 
I have not flown with the newer avionics systems. How does loss of GPS stop the on-board radar from painting weather? I can see the moving map, TAWS, and ADSB not working. Loss of GPS in our mid 90's Citation, Primus 1000, GNS750's, it is no big deal.
For the most part you only have a compass, VORs, and may not even have DME since GPS serves as DME in most modern aircraft. So all approaches needing DME are no longer available, all GPS approaches are no longer available so you’re kind of stuck with VOR or ILS approaches that have radar available. These are few and far between in the mountains. Many airports in mountain areas out west are non-radar due to terrain. Can be very lonely. Very dark, limited nav options. Sounds like they were inbound. No TAWS, no NAV. So you climb and hope you don’t climb into a mountain. Without TAWS not gonna hear terrain pull up terrain pull up.
 
The photo accompanying the story shows the postcrash fire near the top of a ridge, likely the highest in the area (note the number of antennas on the crest). It suggests the possibility of CFIT.

RIP to the crew. Like their brethren often do, they were flying in the early morning hours to perform a mission. Sometimes those go awry for various reasons, and the dangers of medical aviation are illustrated once again.
 
For the most part you only have a compass, VORs, and may not even have DME since GPS serves as DME in most modern aircraft. So all approaches needing DME are no longer available, all GPS approaches are no longer available so you’re kind of stuck with VOR or ILS approaches that have radar available. These are few and far between in the mountains. Many airports in mountain areas out west are non-radar due to terrain. Can be very lonely. Very dark, limited nav options. Sounds like they were inbound. No TAWS, no NAV. So you climb and hope you don’t climb into a mountain. Without TAWS not gonna hear terrain pull up terrain pull up.
Seems like pretty poor design if a single-point failure can degrade things that far.
 
For the most part you only have a compass, VORs, and may not even have DME since GPS serves as DME in most modern aircraft. So all approaches needing DME are no longer available, all GPS approaches are no longer available so you’re kind of stuck with VOR or ILS approaches that have radar available. These are few and far between in the mountains. Many airports in mountain areas out west are non-radar due to terrain. Can be very lonely. Very dark, limited nav options. Sounds like they were inbound. No TAWS, no NAV. So you climb and hope you don’t climb into a mountain. Without TAWS not gonna hear terrain pull up terrain pull up.
We did keep a DME in our Citation.

When I got into corporation back in the mid 80's we did not have GPS, TAWS, or moving maps. We still flew into Aspen, Eagle with the old runway, and Gunnison regularly.
 
Know two guys that refused air transport.
You do have the option.
One actually crashed a C402B
 
@hindsight2020's run on stream of consciousness writing is just "chef's kiss" as the kids would say. SOMEDAY I'll find a way to buy that guy a beer

"Nuclear material can only be flown" outliers notwithstanding, I'm just saying there's a problem when dispatching a king air at 4am to hop a hill pencils out more than an ambulance, because the latter "can't be staffed" in the middle of a doo doo national economy where the under-25 unemployement closer to 10%, and that's what the govt is willing to publish mind you.
 
The GPS system is fragile, easily jammed, spoofed, and can even be turned off. Seems like a bad time for the FAA to be decommissioning VOR's left and right. These modern planes (and their pilots) are becoming very GPS dependent.
It's an interesting decision point. I know of more than one individual making their aircraft GPS-only during avionics upgrades to save money by not needing to buy a nav radio. Their logic is that GPS is bulletproof and they don't plan to fly any ILS approaches. Personally, I kept both nav radios in mine since it's additional capability at (IMO) minimal extra expense.
 
Personal note: Why a 51 nm flight, with the delays at both ends, when driving is ~1:30?
I can answer that one. In many rural areas they only have one ambulance. They're not willing to give it up for 4-5 hours (your 1:30 plus transfer and turn around).

My employer requires us to fly instrument approaches at night. I've been toned out for pickups from an airport that has no approach (or it's below minimums) so we propose them using ground transport to a place that has an approach (and adequate weather). About half the time they refuse, so they get to wait until daylight or better weather.
 
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