In-depth look at the everyday life of Nebraska's StarCare unit
It's a familiar sight that signals a life threatening scenario.
The StarCare helicopter is one that is used in the most critical scenarios where timing is everything.
From the time they get the call to the time they are in the air is as quick as 7 minutes.
With speeds of up to 150 miles per hour, they aren't just able to get to a patient quickly but can also get to a trauma center without delays.
"We get there, we land, we get to the patient and we assess them. We do what we need to do and within 10 minutes we need to be going. We need to be in the helicopter, taking off and headed to the trauma center, if that's where we're headed with the patient," Clinical Base Supervisor Dan Duncan said.
The team is made up of three highly trained individuals, including a pilot, medic and nurse.
They work 24 hour shifts to be ready at any moment.
It's a schedule that can be difficult to balance, especially for a mother on the team.
"I have three kids at home so my husband has to be mister mom quite often, so we have just a routine set up," StarCare Nurse Amanda Kaser-Malousek said.
With every call her mind begins to race wondering who's on the other end but that's something they never let affect their decisions.
"We're never told the type of patient we're going to until we've accepted the flight. We don't want the patient information because they don't want the pilots to have to make a decision based on weather it's a pediatric patient or adult patients. We don't know anything until we've accepted the flight and we're air borne," Duncan said.
"We know that we're there for a job and our priority is our patient. We have to put our emotions aside and do what's best for the patients and their best chance at survival," Kaser-Malousek said.
Regardless of the hours, the time away from loved ones, or the stressful nature of an intense scene, it's a job and a team that none of them would leave behind.
"I've always wanted to to this and this is a great group and a great family. There's not a lot of turnover here so when there's opportunity, you have to take it," Kaser-Malousek said.
Day in and day out, they all live by the same saying, everyone comes home.