More than 100 people were treated at the weekend at a temporary minor injury unit in Birmingham set up to deal with Christmas party-goers.
Police forces, ambulance crews and hospitals across the Midlands are preparing for their busiest time of year.
A man has had a lucky escape after a crash in Worcestershire which caused his car to burst into flames earlier today.
Hydraulic Platform being brought into use to assist Tech Rescue with someone who has fallen from a footbridge. http://t.co/hPSKslxrnD
These tweets by West Midlands Fire Service show a dramatic early morning rescue of a man who had fallen from a canal footbridge in Birmingham.
Fire and ambulance crews were called to Floodgate Street behind the Custard Factory in Digbeth shortly after 8:00am this morning.
Two members of the West Midlands Ambulance service Hazardous Area Response Team had to wade across the canal to the patient who was trapped on a bank not served by the towpath.
Fire crews from Highgate Fire Station then had to use an hydraulic platform to get the man's stretcher up onto the road and into an awaiting ambulance.
The man was then transferred to Birmingham City Hospital for treatment.
A photograph of a van which ended up on its roof after hitting another car and flipping over has been released by West Midlands Ambulance Service.
A man and a woman, both in their 50s, had been in the van at the time but managed to escape serious injury.
They both suffered multiple minor injuries, including seatbelt injuries, but were not badly hurt and were discharged by paramedics at the scene.
6 Vehicle Crash - M42 http://t.co/qdHtFL1EMw
Six vehicles have been involved in a collision on the M42 at around 7am this morning, northbound between junctions 3a and 3.
A spokesman for the West Midlands Ambulance Service said:
“Ambulance crews responded to a road traffic collision involving six vehicles. Three patients were treated from separate vehicles... The man, believed to be in his forties, was treated for a wrist injury...
... A woman in her forties was treated for neck and back pain. She was immobilised with the use of a neck collar and spinal board. Both patients were conveyed to the Alexandra Hospital in Redditch... A third patient was assessed by ambulance crews at the scene before being released.”
A man was pulled out of the river at the back of the Technical College in Worcester in the early hours of this morning.
The ambulance service is renewing safety warnings about flooding in the wake of the incident.
– A West Midlands Ambulance Service spokesman
“It was extremely fortunate that a paramedic and ambulance crew were on scene within minutes to pull the man to safety.
The man was taken to Worcester Hospital for further treatment.
– West Midlands Ambulance Serviced
“It is important that everyone follows the advice of the Environment Agency and other emergency services and stay away from flood control channels, rivers, streams and other waterways at this time.
A 60-year-old woman was airlifted to hospital this afternoon after her car crashed with a van.
The woman was driving along Lodge Hill in Tutbury, Burton-on-Trent, at around 2.30pm today when the smash happened, trapping her in the car.
Fire crews cut her out of the car and she was flown to the Queens Medical Centre in Nottingham for treatment to lower leg and hip injuries.
Three men who were travelling in the van were assessed by paramedics but did not need any further treatment.
Girl suffers critical injury http://t.co/KmUsvC2ubw
A teenage girl has been critically injured in a collision with a car in Solihull. It happened at around 6.30pm on Monday 20 January.
Ambulance crews say she suffered a 'significant' head injury. She's being treated at Birmingham Children's Hospital, where her condition is described as 'grave'.
The male driver of the car was uninjured.
Broad Street is getting busy with revellers. Staff are being sent to standby in various locations in the City Centre to await 999s #Xmas999
East Midlands Ambulance Service says it is expecting tonight to be one of the busiest of the year.
The last Friday before Christmas, known as Black Friday, sees late night revellers and partygoers out in force.
Ambulance services across the region are preparing for their busiest weekend of the year. Tonight is known as "black Friday", the last Friday before Christmas, which marks the most popular day for Christmas parties.
Partygoers are expected to be out in force this weekend and the emergency services are warning people to be sensible.
East Midlands Ambulance Service is expecting a 20% rise in call-outs. In 2012, the service received over 1,500 calls on Friday 21 December.
A treatment unit is being set up on Broad Street in Birmingham city centre to treat patients at the scene.