At 06:00 hrs Box alarm 5-04 was struck for Rt 241 and Old Mount Gretna Rd for an MVA w/Possible entrapment. Chief 5 "Ox" arrived to find a Utility pickup truck over the embankment with 2 injuries Neg entrapment, however the two injured subjects were on the opposite side of the creek. Crews deployed ladders across the creek to extricate the subjects. Crews Preformed basic vehicle opps. Co #5 was out for about an hour. Thanks to FF/EMT J. Blandford from Palmyra Fire for the Assist.