It’s pretty interesting to think about how an air ambulance service can operate in a place like Canada vs. the US.
In the US, the primary “gatekeeper” / authority is often the county sheriff (who controls SAR resources) rather than the land management agency (who definitely plays a huge role, especially in NP’s and wilderness areas). But in Canada, the land management agency seems to have more flexibility in working directly with orgs like TEAMM, which can put individuals directly in contact with the air ambulance service for faster rescue and better-qualified first responders.