The elderly couple believed to be in their 80s were airlifted following the collision between two cars near a railway bridge on the Baschurch Road near Bomere Heath at 9.55am.
A West Midlands Ambulance Service spokeswoman said: “The front seat passenger, a woman, was in a serious condition. Ambulance staff and medics quickly worked to assess the woman and found she had sustained a significant chest injury. The team worked closely with the fire service to quickly extricate her from the wreckage whilst advanced medical treatment was delivered to help stabilise the woman. Due to the serious nature of the woman’s injuries, the doctor took the decision to anaesthetise her on scene. Once released from the car, the woman was fully immobilised before being airlifted to Royal Stoke University Hospital.
“The driver from the same car, a man, was mechanically trapped by his legs but was fully conscious and alert. Upon assessment, ambulance staff established that the man had sustained a serious chest injury and suspected abdominal and pelvic injuries. Whilst the man was given pain relief and fluids to stabilise his condition, the fire service worked around the medical team to extricate him from the wreckage. The man was immobilised with a neck collar, spinal board and pelvic splint before being airlifted to the same hospital.
“The driver of the second car, a man, sustained relatively minor injuries and was taken to Royal Shrewsbury Hospital by land ambulance.”
The Midlands Air Ambulance and Wales Air Ambulance landed close to the scene in a nearby field.
One of the vehicles struck the railway bridge, all services using the line between Shrewsbury and Gobowen were suspended until structural checks could be carried out. The services have since resumed.
Anybody who may have seen the incident or has any further information is asked to contact police using the non-emergency 101 number quoting the incident reference 162 of the 10 November.