Introduction and Aim: The research aims to explore the proportions of emergency medical helicopter service in Split and Dalmatia County in 2014 as well as the main medical causes required for organizing emergency medical transportation by helicopter. Material and methods: The basic research was conducted retrospectively and it is based on data acquired from the Institute of Emergency Medicine of Split and Dalmatia County Call Center protocol for 2014. The lower and the upper age limit for participation in the research was not established. The data collected from 239 medical transportation by helicopter were used in this study. The usage of the data regarding emergency medical transport by helicopter in Split and Dalmatia County from January 1st 2014 until December 31st 2014 was approved by the Director of Institute of Emergency Medicine of Split and Dalmatia County. The following data were used: number of flights, gender of persons who were transported by helicopter, medical indications – diagnosis for transport, the location of intervention, results of providing medical assistance. The data were processed using descriptive statistics. Results: In 2014 in Split and Dalmatia County there were 226 medical transportation by helicopter, during which 239 ill or injured persons were transported. The main reasons for providing emergency medical assistance and helicopter service were chronic non-infectious diseases, injuries and traffic accidents. 61,5 % of all medical flights were performed from the Island of Hvar, while the smallest number of flights were performed from the Islands of Šolta and Vis. The average time span from the takeoff to the arrival at the intervention site ranged from 13,2 to 18,3 minutes, and from the intervention site to the University Hospital Center Split heliport ranged from 15,1 to 20,1 minutes. The total time needed for the transport of an ill/injured person from the moment in which an accident or illness occurred to the hospital amounted to 50-120 minutes. As much as 99,1 % of the injured were brought alive and delivered to the Emergency Medical Care Team who transported them to the Hospital Center Split, while 0,9 % of the injured deceased during helicopter transportation. Conclusion: In 2014 in Split and Dalmatia County there were 226 medical transportation by helicopter during which 239 ill or injured persons were transported. The main reasons for providing emergency medical assistance and helicopter service were chronic non-infectious diseases, injuries and traffic accidents.