Burrillville, RI – Fire Dispatch toned out Stations 1 and 3 for a reported motor vehicle accident in the area of Rte-102 and Central Street around 2350hrs on November 20, 2009. Engine 13, Medic 1, Rescue 3 all called enroute within minutes and dispatch replied with, “We are now receiving several 911 calls regarding this crash”. Engine 13 radioed that they had a two vehicle head on accident with entrapment as they arrived on scene. Station 2 was requested for a second set of jaws due to the drivers in both vehicles being heavily pinned. Firefighter/EMTs climbed into the twisted vehicles to assess the patients and hold cervical spine stabilization. Firefighters readied their hydraulic tools and gained purchase points to being the task of freeing the drivers. They had to use cutters, spreaders, and battery operated reciprocating and circular saws to remove the warped metal. A hose line was stretched from Engine 21 to protect the scene if a fire was sparked. EMTs initiated IV access inside the vehicles while the extrication continued. The OIC requested a third set of jaws from Station 4 and also for a Lifeflight helicopter to the scene. The driver of the silver sedan was removed in 35 minutes and the black sedan’s driver was removed in 45 minutes. The flight crew was transported to the scene from the landing zone to triage their patient.The silver sedan’s driver was transported ALS to Rhode Island Trauma Center by Medic 1. Rescue 3 brought the flight crew and patient to the landing zone at the middle school. The patient was flown to the trauma center of the University of Massachusetts.