Luke, you may give a try to SharinPix - disclaimer, this is my app
This specialized app for salesforce could be used to achieve so like this :
Adding an album to the objects
- Take picture to the camera under Salesforce1 adding image to the album
- Choose this image in the album and the menu command (Add To Rich Text)
- It makes a call to salesforce code (then you can do your magic here)
- it provides an URL for the image to be inserted with the wanted metrics (resolution, width, height, ...)
Coud that help?