At approximately 2:47 pm Ocean City Communications Center dispatched Ocean City Fire and Police units to the Route 90 bridge for a vehicle crash with injuries. A Worcester County Fire Marshal quickly arrived on the scene and informed communications one vehicle was half over the guardrail, and multiple patients were injured. A mass casualty incident was declared and the call was upgraded to a rescue response. During the collision, one pediatric patient was ejected from the car teetering over the guardrail and landed into the Assawoman Bay. A Good Samaritan immediately jumped over the guardrail and into the bay, rescuing the infant.