Rescue Squad 1 (4 personnel), and Engine 10 (4 personnel) responded to the 26000 block of Point Lookout Rd for a reported 4 vehicle accident. Rescue Squad 1 arrived finding a vehicle roughly 1/2 mile from the original scene into a guardrail. Engine 10 arrived at the original location finding additional vehicles. EMS units valuated multiple patients, however only transporting 1 and obtaining 2 refusals. Lieutenant of the Rescue Squad held the Point Lookout Rd command.