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What is the function of a backwards takeoff profile?


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I'm a student commercial pilot, sorry if this is a dumb question: I have watched a number of HEMS videos on youtube in which the pilot makes a backwards takeoff from the pick up point. I assume there is some function for this, other than to impress observers on the ground? Why not 180 at hover height and then takeoff with a max P forward profile? In most of the videos I have seen there is plenty of room for maneuvering at hover height (i.e., football field, etc). Also, I assume this is only done in multiengine aircraft?

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