Consultation Processes With Helicopter Emergency Medical Service Physicians in Finnish Prehospital Emergency Care: The Paramedics’ Perspective

•It is recommended to use helicopter emergency medical services (HEMS) physicians in prehospital consultations.•Familiarity with the operational context was especially valued by paramedics.•HEMS physicians’ expertise is particularly needed in challenging situations.•The attitudes and technical fluency of HEMS physicians still need improvement.