At 3:00 pm units from Washingtonville were dispatched to the area of Round Hill School for a head on MVA. As Car 2 (Hearn) called responding OC911 advised they were now receiving reports of a subject trapped and unconscious in the vehicle. Car 2 arrived on scene and confirmed a head on MVA with 1 subject trapped in the vehicle. Car 3 and R-581 arrived and began the extrication by removing the driver's side door and then performing a dash roll to free the patient. E-582 stood by on scene with a hoseline. SMFD responded with E-549 to establish a landing zone at the school as well as R-561 to assist with the extrication. The patient was removed from the vehicle within 18 minutes of the rescue's arrival. The patient was turned over to BGVAC and LifeNet for transport.