Traffic backed-up on the Hilo side on Highway 19 east of Kaawalii Gulch. (Photos by Baron Sekiya/Hawaii247.com)

Traffic in Kaawalii Gulch on the Honokaa side waiting for the road to be cleared by state highways crews.

Medics transport victims of the accident on Highway 19.

Chopper Two transports injured from the accident.

One of the vehicles being taken away from the accident scene.

Another vehicle from the scene.