From single-engine turboprops covering remote terrain to twin-engine helicopters serving densely populated regions, mission profile and operational environment underpin procurement choices.

ADAC Luftrettung uses 60 Airbus helicopters from its 38 stations. In 2024, the EMS operator responded to around 50,000 often life-saving missions. ÖAMTC Flugrettung operates 32 H135s. Ten rotorcraft are joining.

Experience of high mountain landings and external load flights is essential for the demanding missions that ÖAMTC pilots fly every day, and it has brought a mountain operator on board to provide that training.