The purpose of this position paper is to address the practice of sequential calls to a variety of air medical providers in an attempt to secure air medical resources for a call response that is limited by weather, landing zone availability, distance, or other safety factor. The common industry term for this type of repeated resource request is ‘helicopter shopping’. This paper summarizes recent changes in air medical transport which encourage “helicopter shopping’. It outlines inherent risk exacerbation to patient and providers as a result of helicopter shopping. It also discusses possible practices to mitigate these risks, including education, communication and gathering of complete request information prior to launch.