Saturday afternoon at 1436hrs, Company 10 was alerted for an engine and medic unit for an auto accident with rescue in York County Station 54’s first due. Engine 1012, Paramedic 1091 and Rescue 1051 respond shortly after the alert, as well as Chief 10 (Gustaitis). Units arrived to find a two vehicle, head-on collision with crews from Station 54 already working to extricate the patients. Crews from 1012 and 1051 started patient care for one of the four patients while the crew from 1091 started patient care on the entrapped patient. 1012’s patient was handed over to York County Ambulance 56 for transport. Following extrication by Station 54’s crew, 1091’s patient was transported via air to the trauma center.