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fatal accidents have already occurred during transport of a hang nail.  All this HAA stuff started in the early '70s as the military MAST program which proved to be viable, but not really a military mission.   The evolution of HAA has a miserable record provided by ignorant management on both the medical and aviation side.  Wish I could provide a silver bullet but the only I can think about ref: the subject is "slow down, think, figure how to do things properly".  Ain't gonna happen.