At 0236 hours (2:36 am) on Sunday morning May 23, Medic19 and Engine12 were dispatched to the 13000 block of Old National Pike in Frederick County for a vehicle collision with entrapment.

First arriving Medic19 found a single vehicle off the roadway into the woods with heavy damage. A check of the crashed truck revealed there was no entrapment, however there was significant damage to the pickup truck.

After a search of the area 3 subjects were located across the street in a front yard. Medic19 requested 2 helicopters for 3 trauma patients who advised they were all ejected from the truck. Care was started on these subjects immediately. During evaluation and treatment, the subjects advised there was a 4th subject who was ejected somewhere in the woods . Crews checked the wooded area near the scene with thermal imaging cameras and on foot and located the subject who appeared to have also been ejected out of the truck, Additional personnel went to work on the 4th subject with the help of an off duty MSP flight medic.

In total 4 subjects where flown via Trooper-3 and Trooper-2 to the trauma center for treatment. Units were on the scene for over an hour.