Around 2230 Engine 251 was alerted for a working code in the area of Woodyard Rd and Perrrywood in Company 23's first due. While en route PSC advised that it was going to be a MVC. Engine 251 arrived to find a high speed head on collision with persons heavily entrapped and two not breathing. Engine 251 established command and asked for a second Rescue Squad and Medic Unit. Rescue 20 arrived and stared working on the vehicles while Medic 25 provided assistance to the accident victims. Two of the injured were pronounced on the scene while a third was transported to a local hospital for a check up.