This crash involved 18 ambulances from 13 EMS Agencies. It happened at approx 6:30 pm and due to weather we were not able to use any helicopters. 49 lives were saved with all receiving transport to 5 different hospitals in both NY and VT. 5 perished in the crash. The accident was investigated by the National Traffic Safety Board and the NYSP. Responders were on the scene from time of dispatch over 18 hours before the scene cleared.