Around 3:30pm this afternoon, Nanuet EMS responded to Route 59 Eastbound for a car vs. tow truck motor vehicle accident with reports of a person trapped inside the vehicle. Upon EMS arrival, the crew of 22B4 and Medic 5 began to treat the patient inside the vehicle while the West Nyack Fire Department worked to extricate them. Once extricated, the patient was transported ALS to Westchester County Medical Center with significant injuries.