Hyde County Emergency Medical Services has used a Pivotal BlackFly eVTOL on two live 911 responses in rural North Carolina, with flight-trained paramedic Quinn Reece reaching one patient about 20 minutes before a ground ambulance. The missions, carried out in Hyde County, are described by local officials and industry coverage as the first U.S. operational use of an eVTOL for routine emergency medical response.
The single-seat aircraft carried Reece and advanced life support equipment directly to the scene rather than transporting the patient. Coverage of the flights says the BlackFly was fitted for EMS work with medical kit including a cardiac monitor, airway supplies and a response bag, after more than 300 training flights to build procedures for the public aircraft operation.
The programme reflects a practical test of eVTOLs in rural emergency care, where long ground times can delay treatment. Hyde County, Code Blue Resources and Pivotal have framed the effort as a way to shorten response times across a large coastal county where access can be difficult, and one report said Reece also helped guide a lost ground ambulance on a separate call.