Those minimums listed for AEL are as low as you will ever see. In my opinion those are even to low. Flying EMS with just 1500 hours total time is low. My company looks for 3000 total time, 300 night and prefer 200 hours instrument but will forgo that for the right pilot. Of course the VFR bases do not have the instrument requirement.
EMS is not a place you will build hours. You will be asked to fly to a deserted, dark, wire infested scene at 3am. It is not a place to come and learn decision making, your flight planing and fuel management skills should be very good. Understanding local weather patterns in area where there is not reporting is a must as well. Lastly, we are not here to "save lives". That just happened to be a byproduct of what we do. We are given a point a,b and c flight. Can it be done safely? If not, we say no. The fact that there is a injured kid, out there can not play into your decision making. If it does, one day it will come back to bite you and your crew.
The EMS jobs will always be here. If you are lower time, then I would wait it out and build up some time and experience. There have been way to many accidents in the last few years.
"In my opinion those are even too low."
Unfortunately, hour level does not consider experience. I am an Army Aviator with only 1,500 hours, however, I am certain that my experience far exceeds that of most civilian helicopter pilots that have far more flight hours.
I have flown medical evacuation missions in Afghanistan landing at unimproved LZs at over 13,000' in combat. I have crossed international borders and flown in 17 countries throughout Europe and the Middle East. I have over 160 hours of actual instruments (hand flying, not fully coupled) in Europe where almost every flight between September and May involved structural icing and where instrument approaches to minimums was routine. When compared to Joe who has logged 3,000 hrs of R-22 in a traffic pattern at a non-towered airport in Indiana where the highest obstacle is 500' AGL, who has never flown in Class B airspace, who has never had to talk on the radio to four different agencies at the same time, there is just no comparison.
I am an Instructor Pilot and Instrument Examiner and I have found that hour level is largely irrelevant. I have flown with 3,000 hour aviators who are just not very good pilots and I have flown with 300 hour aviators who are gifted aviators.
It is my opinion that the hour level requirement really needs to be reanalyzed and that a different indicator of a skilled aviator needs to be developed. Hour level has little to no impact on how skilled or safe a pilot is. I understand that with increased hour level there is potential for increased experience but I think that experience needs to be evaluated. There are a thousands of pilots who have the hours but lack any real experience. There flight hours are "fluff".