A driver was left trapped after his van dangled off a motorway bridge above a pedestrian walkway.
Fire crews were met with the Italian Job-style drama after the van collided with a car and came to a stop with its rear end hanging off the road.
The incident happened at around at junction 26 of the M60 in Stockport, Greater Manchester.
Firefighters made the van safe using a hand winch to stabilise the vehicle before freeing the male driver using cutting equipment.
He was taken to Manchester Royal Infirmary by ambulance.
A woman and a man were freed from the car by firefighters and airlifted to Wythenshawe Hospital by North West Air Ambulance.
Peter Lamb, of Whitehill Fire Station, said: "The van was hanging precariously off the motorway and it was balanced on the edge so the first thing the crews had to do was make it safe to make sure the vehicle didn't drop over the edge where the subway is.
"Once the van was stabilised, the crews were able to free the casualties. They freed the driver from the van and then the two people in the car who were taken to hospital by two air ambulances which were requested by the ambulance service.
"Where the collision happened is quite a complicated patch where the motorways all come together."