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RCMP are investigating after an elderly woman died in a crash involving an ambulance on a Vancouver Island highway.

BC Emergency Health Services were dispatched to a two-car crash near Mount Cain, 60 kilometers north of Sayward, on Highway 19 just after 1 p.m. on Wednesday.

Four people were injured, including a 83-year-old woman from Kuyoquot, who suffered a severe injury. She was taken to the Campbell River Hospital in critical condition.

While en route to the hospital, the ambulance crashed head-on into a rock face.

The woman died after the ambulance crashed, but it isn’t clear if the crash caused her death.

Four paramedics were also injured in the crash. They were transported and treated for minor injuries.

The investigation is ongoing, but police say poor road conditions caused by a sudden, heavy wet snowfall are believed to be contributing factors in both collisions.