April 29th started out as many Friday's do in Calvert county. The commuters got up and went to work and the county settled into its quiet routine, of a couple of medical calls. PMIC Dimakas, and Bishop were providing coverage, while Chief 10 and 10C were running errands in the county. At approximately noon PMIC Dimakas was alerted for a chest pain call at the Solomons UC center, Chief 10 being in the area marked up and responded as a 1st responder. Chief 10, A39 and PMIC Dimakas worked together to package the patient and transport them to CMH for further treatment. Within a minute of clearing that call PMIC Bishop was dispatched to the Broomes island area for a cardiac arrest. PMIC Bishop responded from the office and Chief 10 marked up as 2nd medic for support. En route to this call A78 updated both medics that they had given narcan and the patient was now still unconscious but breathing, at the same time Calvert Control dispatched a head on crash at the Thomas Johnson Bridge with reports of entrapment. Chief 10 checked with PMIC Bishop and then cleared to respond to the bridge call. Chief 3 (Joe Ford) arrived on scene first and confirmed no entrapment, but a pri-1 patient with multiple fractures and breathing problems. St.Marys Medic 5 arrived on scene from thier side of the bridge first and began care. CMD 10 with PMIC Wall arrived on the Calvert side of the bridge just as Chief 10 (PMIC Shannon) was pulling up. Do to the seriousness of the patient and the position of the crash and apparatus Chief 3 (Joe Ford) had ordered his A38 to preposition facing Calvert so that as soon as the patient was placed in ambulance it could leave. Chief 3 had already requested aviation for the pri-1 CAT-B patient and had been told all air assets in the state were down due to weather. PMIC Shannon, Wall jumped in the back of A38 as the patient was loaded in and began transport to PG Trauma. Within seconds of receiving the patient PMIC Shannon,Wall realized the patient had a tension pneumo, so while still responding off the bridge the patient received a "Chest Decompression". As A38 continued up the road towards PG Trauma the patient became more unstable and the decision was made to go to CMH for stabilization. A38 pulled into CMH and were immediately met by crews from A78 who were there to help us off load our patient and bring him into the ER. Once in the ER Calvert Memorial ER staff immediately went to work stabilizing the patient, A chest tube was placed, multiple IV were started and blood products were hung and the patient was RSI'ed. After all these interventions were performed the patient vitals signs started to normalize. Now the problem became how to get this patient to Baltimore Shock trauma for surgical interventions. By the grace of God, a US Navy SAR helicopter was in the area finishing up a "missing boater call on the Bay" and heard the call go out for any resources that could transport a critically injured male from CMH to Baltimore STC. The Navy's Patuxent River SAR DOGS immediately went into action and changed their course to the CMH ER Helipad arriving with 20 mins of the call for help. A transition was done between the Navy flight medic the ER physician and PMIC Shannon (who was going to ride as a 2nd ALS provider). The patient was quickly loaded into the aircraft and flown to Baltimore STC. The flight was short and the patient was transferred to definitive care at Baltimore in serious but stable condition. This call was a great example of all the teamwork that goes into saving someones life. From Chief Ford recognizing the priority of the patient and getting him moving toward the hospital quickly. To the medics who performed advanced skills and kept the patient alive, to CMH ER staff that handled a priority trauma patient and were able to stabilize him so that he could survive further transport to the trauma center and lastly to the crew from the US Navy who came in to help with our final challenge of getting the patient to a trauma center quickly.