At 02:26hrs. Frederick county ECC dispatched Co. 24&11 to Rt.194 & Rt.26 for a report of a motor vehicle accident with entrapment. A247 arrived on scene to find a single vehicle rolled over and started patient care. C24 arrived on scene and confirmed dispatched but also advised ECC that he had one patient ejected and trapped under vehicle and requested Trooper 3 and a second ambulance and medic for a second patient. C24 then established Rt. 194 command. C24 then requested a third ambulance for a possible third patient. E111 arrived on scene and began stabilizing the vehicle and also placed in service a 1' 3/4 line for fire suppression. RS24 arrived on scene and immediately began extrication by using the already connect deer antler spreader to lift the vehicle. Patient was then extricated with 5 min. and A247 and Medic 2 took over patient care. A249 and Medic 1 arrived on scene and began patient care on second patient. A29 arrived on scene and began patient care on a third patient. One patient was flown to Shock Trauma and a second patient was taken by ground to Meritus Hospital Center in Hagerstown and the third patient was a refusal. E111 and RS24 stayed on scene for a long period of time to assist MSP with lighting. At 06:00hrs. Rt.194 command was terminated and units went in service.