A pickup truck collided with a farm implement Monday morning on Merry Branch Road at approximately 10:45 am.  Members of the Onancock Vol. Fire Company and Onancock EMS, the Tasley Vol. Fire company and Accomack County Department of Public Service personnel responded.  The victim had to be removed with a hurst tool.  The victim was transported to Riverside Shore Memorial Hospital and was subsequently flown to a shock trauma center by the VCU Medevac helicopter.