06/02 - Wattsburg and Emergycare ALS were dispatched to an MVA on RT 89 @ Page Rd.  PSP witnessed the accident and called for the fire department.  On arrival Chief 180 reported a vehicle over a guardrail on it's side in a creek.  180 requested assistance from Kuhl Hose and 683 responded with 5.  On 683 arrival the crew secured the vehicle to the guardrail, then assisted with access to the patient.  683's crew removed the roof using the HOLMATRO and assisted with extricating the patient from the vehicle.   The PT was transported by Wattsburg to Hamot.  PSP is investigating the accident.