A REACH Air Medical Services air ambulance helicopter crashed on Highway 50 in Sacramento, California, on the evening of October 6, 2025, leaving one crew member dead and two others critically injured. The Airbus H130 helicopter was responding to a call when it reportedly experienced an “in-air emergency” around 7:00 p.m., prompting an immediate descent onto the busy highway.
According to authorities, no civilian vehicles were struck during the crash. However, the three-member crew—pilot Chad Millward, flight paramedic Margaret Dee Davis, and flight nurse Susan “Suzie” Smith—suffered severe injuries. Tragically, Smith later succumbed to her injuries despite intensive medical care.
Heroic Rescue Efforts on the Scene
In the moments following the crash, bystanders rushed to the wreckage to aid the injured crew. Witnesses described people crawling under the damaged helicopter to free a trapped crew member. Emergency personnel from the Sacramento Fire Department soon arrived, stabilizing the scene and transporting all three victims to nearby hospitals.
The selfless actions of those present were praised by both local authorities and REACH Air Medical Services officials, who expressed gratitude for the community’s quick response.
Remembering a Dedicated Flight Nurse
Susan “Suzie” Smith, a veteran flight nurse with a distinguished career in emergency medical services, was remembered by colleagues as compassionate and fearless. REACH Air Medical Services released a statement confirming her passing and honoring her commitment to patient care and team safety.
Air Ambulance Crews Face Constant Risk
The tragic accident has reignited discussion about air ambulance safety—a critical yet perilous field. Crew members often operate in challenging weather, low-visibility conditions, and high-pressure emergency situations. Despite strict training and safety measures, mechanical failures and unpredictable environments continue to pose risks.
As the National Transportation Safety Board (NTSB) investigates the cause of the crash, industry leaders are calling for enhanced safety standards to better protect the air ambulance crews who risk their lives to save others.
