Air ambulance crews carried out 351 rescue missions in Derbyshire last year, according to figures released by the service.
Derbyshire, Leicestershire & Rutland Air Ambulance (DLRAA) has now completed more than 5,500 missions since 2008.
Neighbouring charity Warwickshire & Northamptonshire Air Ambulance, which also carries out missions in Derbyshire has completed more than 14,500 call-outs since it was founded in 2003.
Both services attend a variety of emergency rescues every day of the year, including Christmas Day.
These include road traffic collisions, serious sporting injuries, severe burns, industrial accidents and any other medical incidents that require rapid response.
Road traffic collisions made up for the majority of callouts last year with 43 per cent. Meanwhile, 21 per cent of callouts were for sporting or equestrian incidents, 17 per cent were for medical emergencies such as heart attacks and strokes and 10 per cent were for falls.
2013 also saw a significant rise in doctor coverage across both services. For the first six months of the year, 60 per cent of missions carried a doctor on board, with just 38 per cent of missions in January providing doctor coverage. This figure rose to 86 per cent for the last six months of the year. Certain months towards the end of the year saw over 90 per cent of missions carry doctors on board.
Between them, the two services lost 30 days of flying due to maintenance work and just one and a half days because of poor weather conditions.