Two people have died and a further seven people have been treated following an RTC in Staffordshire.
The crash occurred on the A5, near to Weston Park at around 2.20pm on Monday afternoon.
The first person on scene was an off duty A&E nurse who came across the incident and started to treat patients.
In addition, three community first responders from the Brewood and Wheaton Aston schemes, four ambulances, two paramedic officers and the Midlands Air Ambulances from Cosford and Staffordshire attended the scene.
A West Midlands Ambulance Service spokesman said: “Crews arrived to find a number of vehicles that had been in a significant collision.
“One vehicle had overturned in the crash and unfortunately, it quickly became apparent that nothing could be done to save a woman and a girl travelling in that car; they were sadly confirmed dead at the scene.
“A man also travelling in the overturned vehicle had suffered serious pelvic injuries. He received emergency treatment at the scene from medics and was airlifted to Royal Stoke University Hospital for further emergency treatment.
“A man in his 60’s and a woman in her 30’s, both travelling in a second car were treated at the scene for multiple minor injuries and were transferred in the same ambulance to New Cross Hospital in Wolverhampton for further treatment.
“A man believed to be in his 40’s, travelling in a third car suffered a shoulder injury. He received treatment before being taken by land ambulance to Princess Royal Hospital in Telford.
“A man in his 30’s and a woman in her 20’s, travelling in a fourth car were treated at the scene for minor injuries by medics and did not require further treatment. Both were discharged at scene.
“A woman in a fifth car was checked over at the scene for back injuries. She received treatment before being transferred by ambulance to Princess Royal Hospital for further treatment.
“West Midlands Ambulance Service would like to pay tribute to its staff for their professionalism and the excellent treatment they provided at what was an extremely difficult and distressing incident. The Trust would also like to thank the off duty nurse who assisted with treatment at the scene.”