Vacaville (Calif.) Fire Department EMT/firefighters and paramedic/firefighters rescue a 51-year-old female who was the only person inside a vehicle that rolled over several times on an interstate. The patient was conscious but only oriented to her name, and complained of head, neck and arm pain. Providers performed a physical exam and determined she had a deformity to her left arm and a possible depressed skull fracture on the right side of her forehead. To extricate her from the vehicle, the door and roof had to be removed using hydraulic rescue tools. The patient received C-spine precautions, was placed on a backboard and transported by CALSTAR 8 to UC Davis Medical Center, a Level 1 trauma center.