Four air ambulances were called to the scene of a crash near Shipston.
West Midlands Ambulance Service has provided further details about a crash on the B4035 Campden Road, near to the junction with Fosse Way.
The two-car crash happened at around 4.05pm on Friday (April 21), resulting in three teenagers who were in a Ford Fiesta being airlifted to hospital with life-threatening injuries.
Another male teenager, from the same vehicle, was taken to hospital by road, also with life-threatening injuries.
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A WMAS spokesperson said: “On arrival, crews found two cars with very significant damage.
“There were four teenagers in the first car – three men and a woman – who were all left with life-threatening injuries.
"All four received advanced trauma care from the enhanced care teams on the air ambulances.
“A man and women were separately airlifted to the major trauma centre (MTC) at John Radcliffe Hospital in Oxford.
"A second man was airlifted to the MTC at University Hospital Coventry and Warwickshire (UHCW).
"A fourth man was taken by road to UHCW with a doctor from one of the air ambulances travelling with the ambulance crew."
A Fiat 500 was also involved in the crash, with the occupants being taken to hospital.
The WMAS spokesperson added: “There was a woman and two children (one boy and one girl) in the second car. All three were taken to the John Radcliffe by ambulance with serious injuries.”
“An eighth patient, a man, who was at the scene collapsed due to a medical condition.
"He was assessed and treated at the scene before being discharged.”
In total four air ambulances, two from Midlands Air Ambulance, one from the Warwickshire and Northamptonshire Air Ambulance and the Derbyshire, Leicestershire and Rutland Air Ambulance attended the scene.
They were joined by four WMAS ambulances ad two from South West Ambulance Service Trust, along with two WMAS paramedic officers and one SWAST paramedic.
Two senior paramedic officers from WMAS were also sent to the scene.
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