This thesis investigates the availability of helicopter emergency medical transport services in the Republic of Croatia and Europe and proposes a model for establishing helicopter emergency medical service (HEMS) to improve the health safety of Croatian citizens and tourists. Helicopter medical transport is a frequently used method of emergency transport in situations where it is necessary to ensure a quick arrival at the scene of the incident, the provision of medical care and the transport of patients for further treatment in hospitals. During the preparation of this thesis, secondary data from professional medical journals were analyzed, which prove the effectiveness of HEMS in emergency missions and its positive impact on reducing the mortality of transported patients. Based on the collected data on emergency interventions, it is evident that ground transportation in the entire territory of the Republic of Croatia fails to provide medical care within the „golden hour“, which is especially evident during the tourist season when the number of interventions increases and when it is necessary to provide additional emergency teams. This thesis analyzes the implementation of the HEMS pilot project from 2015 and 2016, in which HEMS proved to be a faster and more efficient form of emergency medical transport compared to transport by ground vehicles and by military helicopters which is currently being implemented in the Republic of Croatia. The primary research conducted through an online survey showed that citizens and tourists support the establishment of an emergency helicopter medical service, which they believe would improve health safety conditions, as well as the availability and quality of health care services. In conclusion, the author proposes the establishment of HEMS by purchasing or leasing four to five dedicated helicopters and the establishment of the same number of HEMS bases in the Republic of Croatia.