Cape Town – A paramedic died and several people were injured in a multiple car pile-up in Midrand, Gauteng, on Sunday, Netcare 911 said.

The paramedic was responding to an accident scene when he was struck by another vehicle on the N1 South, near the Allandale Road, around 5:00, said Netcare 911 spokesperson Athlenda Mathe.

Three cars, a tow truck and an ambulance were involved in the pile-up.

The paramedic was found trapped beneath the tow truck and was declared dead on scene, Mathe said.