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Dispatched as mutual aid 9 vehicle PIA on the highway. A semi hit 9 vehicle's that were stopped due to construction backups causing an MCI situation. While en route, I contacted the IC to ask if the Eastbound lanes were completely blocked so we could come in heading West in the Eastbound lanes. I was advised that the lanes were completely blocked. I relayed the information to our rescue and engine that were en route. Once I arrived on scene, I asked IC what was needed. I was advised they needed help with patient care. I immediately broke off to the closest vehicle, which had 2 occupants, 1 which was pinned in. I was told they needed to pop the door on the passenger side, and were waiting for their members to come back with the tools. I asked the passenger if they had a blanket to cover their head with, which they did. I broke the window and removed the glass, and the responder with the tool was able to pop the door. I began to assess the patient and observed they had multiple facial injuries but no life-threatening injuries. I reassessed the patients' vitals every few minutes and talked to her to keep her calm. As soon as we got the door open, I realized there was fuel underneath the vehicle we were working on. Once our rescue arrived I told them and they pulled the booster line to spray the fuel and standby incase of fire. Ambulances were having a difficult time getting to the scene due to the traffic backup. We were eventually able to remove the patient and load her into the ambulance. In total, I believe 6 people with different priorities of injuries were transported to area hospitals. Sadly, 1 person did lose their life in this incident.