EMSS is the organic system offering quick and efficient transfer and treatment for those who need an emergency service. For EMS aviation operation is the important transportation for the common benefits. There are several types of aviation operation. Among the different types of the operations, helicopter operation is very common because it is free from any locations. Notwithstanding the benefit, various types of EMS helicopter accidents and incidents are occurred because of its poor operation condition. In South Korea, even though so much effort was put to decrease the accidents rates, there are still many accidents happening by fire helicopters and the forest service helicopters. Therefore, in order to regularize the EMSH operation, measures for the aviation safety have to be prepared. This research is, related to the EMSH, focused on the suggestion of safety measure for the EMSH in Korea based on the accidents analysis in various countries.