Developing resilience to startle and surprise in helicopter operations

Also published in AirMed&Rescue April 2022 edition. https://www.airmedandrescue.com/latest/long-read/developing-resilience-helicopter-operations

What should startle and surprise training mean in an applied sense and how should we be approaching it? Do the differences between airline transport flight profiles and helicopter operations mean that we should be looking critically at how to approach the startle and surprise from a rotary wing perspective? Is it as significant a hazard in the low level, high workload, high obstacle environment in which helicopter crews spend much of their time?