When you get a pilot wound the blood splatter is okay but it could be a lot better. Brain matter, some teeth ending up on the HUD, and maybe like you're missing some fingers or something when you're wearing that virtual reality goggles.
And if you bail out of a plane and open your chute too late, be kind of cool if you could survive but break both of your legs or something or have your hips shoved up through your shoulders while you're screaming in pain. And then black out and die.
I know it wouldn't be much of a priority for the game but it might be a nice touch.