NTSB Investigates Fatal Medical Helicopter Crash on Highway 50

NTSB Probe Begins Into Fatal Medical Helicopter Crash on Highway 50

Federal investigators have initiated a probe into the tragic crash of a medical helicopters on Highway 50 in Sacramento, an incident that resulted in the death of a flight nurse and critical injuries to the pilot and a flight paramedic. The National Transportation Safety Board (NTSB) released its preliminary report, shedding light on the final moments of the REACH Air Medical Services helicopter. The event has brought the inherent risks faced by emergency air crews into sharp focus, prompting a detailed examination of the circumstances that led to the aircraft going down on a busy highway.

The incident occurred on the evening of October 6, 2025, when the Airbus Helicopters EC130 crashed shortly after taking off from the UC Davis Medical Center heliport. The crew was en route to their base at McClellan Airfield. The crash not only resulted in a devastating loss for the medical community but also caused significant disruption, shutting down a major transportation artery for hours. As the NTSB delves deeper into the mechanical and operational aspects of the flight, the air medical industry and the public await answers that could help prevent similar tragedies in the future.

The Incident and Immediate Aftermath

According to the NTSB’s initial findings, the flight experienced a critical power failure almost immediately after departure. The report details a mayday call made by Flight Paramedic Margaret “DeDe” Davis, who reported the power outage as the helicopter began to autorotate, a state of controlled descent without engine power, towards Highway 50. Flight data indicates the helicopter reached a peak altitude of 500 feet before descending for its final 11 seconds of flight. This rapid sequence of events highlights the immense pressure and split-second decision-making required of the crew in an emergency situation.

The helicopter ultimately crashed in the eastbound lanes of the highway, approximately 1,600 feet north of the medical center from which it had just departed. The impact was substantial, with the aircraft coming to rest on its left side. Evidence gathered at the scene points to a violent crash, with a main rotor blade striking a fence along the highway. A fragment of the blade was later discovered embedded in the roof of a detached garage of a nearby residence, illustrating the force of the impact. The wreckage of the helicopter, having sustained significant damage to its fuselage and main rotor blades, has been retained by the NTSB for a more thorough examination.

The three crew members aboard were all critically injured. Flight Nurse Susan “Suzie” Smith, a 50-year veteran of nursing with 21 years at REACH, was trapped underneath the helicopter. Firefighters, with the help of bystanders, lifted the aircraft to free her. Tragically, Smith succumbed to her injuries four days later. The pilot, Chad Millward, and Flight Paramedic Davis have since been discharged from the hospital and are recovering in inpatient rehabilitation facilities.

“The flight paramedic reported that shortly after takeoff she noticed the power had gone out and the helicopter was autorotating towards U.S. Route 50,” investigators wrote in the NTSB report.

The Investigation and Broader Context

The central focus of the NTSB’s investigation is to determine the cause of the power loss that precipitated the crash. While the preliminary report confirms the event, it does not yet specify the reason for the failure. Investigators will meticulously examine the Airbus EC130 T2’s engine, fuel systems, and mechanical components to identify any potential malfunctions. The aircraft, which had been in service since July 2021, is a single-engine, light utility helicopter commonly used for air ambulance services.

This incident serves as a stark reminder of the dangers inherent in air medical transport. These crews operate under demanding conditions, often in challenging weather and at all hours, to provide critical care. A 2024 study published in the Air Medical Journal noted 83 helicopter air ambulance accidents in the United States between 2010 and 2021, underscoring the ongoing risks. While the industry has made strides in safety, the potential for catastrophic failure remains a constant concern.

The community has mourned the loss of Suzie Smith, who was remembered by her family and colleagues as a dedicated and compassionate nurse. In her honor, the “Our Angel That Flies Foundation” is being established to support causes she believed in and to provide scholarships for aspiring nurses. The survival and ongoing recovery of Millward and Davis are a testament to their resilience and the efforts of the first responders on the scene.

Concluding Section

The preliminary NTSB report confirms that a sudden loss of power was the catalyst for the fatal Highway 50 medical helicopter crash. The flight paramedic’s mayday call and the pilot’s efforts to control the aircraft during its final descent highlight the crew’s professionalism in the face of a catastrophic emergency. The investigation will now proceed to a more detailed phase, focusing on why the engine failed, which will be crucial for understanding the accident’s root cause and for implementing measures to prevent future occurrences.

This tragedy has cast a spotlight on the vital but perilous work of air medical crews. As the investigation continues, the findings will be of significant interest to the Aviation and medical communities. The ultimate goal is to enhance the Safety of these critical life-saving operations, ensuring that the dedicated professionals who risk their lives to save others are protected by the highest standards of aircraft maintenance and operational safety. The loss of Nurse Suzie Smith is a profound blow, but her legacy will undoubtedly fuel efforts to make the skies safer for all who fly in the service of medicine.

FAQ

Question: What caused the helicopter crash on Highway 50?
Answer: The NTSB’s preliminary report indicates the helicopter experienced a loss of power shortly after takeoff, causing it to enter autorotation and crash. The specific cause of the power loss is still under investigation.

Question: Who was on board the helicopter?
Answer: There were three crew members: Pilot Chad Millward, Flight Paramedic Margaret “DeDe” Davis, and Flight Nurse Susan “Suzie” Smith. There were no patients on board.

Question: What were the outcomes for the crew members?
Answer: Flight Nurse Susan “Suzie” Smith tragically died from her injuries four days after the crash. The pilot and flight paramedic were critically injured but have since been released from the hospital and are in rehabilitation facilities.

Sources: NTSB website, NTSB Preliminary Report”