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Pilots' incremental years of HEMS experience were associated with a TDPS decrement. Fatal outcomes were over nine times higher for pilots with <6 yr of HEMS experience in night VFR operational accidents in those conditions. Interventions for <6-yr pilots are recommended during experience building to prevent likelihood of operational accidents.Aherne BB, Zhang C, Chen WS, Newman DG. Pilot decision making in weather-related night fatal helicopter emergency medical service accidents. Aerosp Med Hum Perform. 2018; 89(9):830-836.

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