Around 1830hrs Engine Co1 was dispatched along with several medic units to the 5700 block of W Old Mountain Rd just off of State Rt 208 for the reported veh crash involving a dirtbike. Upon arrival Medic2 requested helicopter pegasus for transport of a priority red patient. CFR1 and Engine2 handled the LZ which was set-up at the intersection of W Old Mountain Rd/Captain Meade Rd not far from the accident scene. Medic2-8 transported another serious patient by ground to Uva and Rescue7-4 obtained a patient refusal for the driver of the pickup. Attack1 stayed onscene assisting state police with lighting and was released 2030hrs.