This study analyzed 130 helicopter rescue missions in Australia that involved winching a physician to the scene. It found that 40% of patients received physician-only interventions (POIs) such as advanced analgesia/sedation, airway management, circulatory support, and orthopaedic manipulation. Patients with abnormal vital signs were more likely to receive a POI. Undertaking a POI did not impact scene time. The high POI rate and sometimes severe injuries support including physicians in winch rescues to provide time-critical interventions and advanced care.