At 8:41 PM Saturday November 8, 2025, Adams Fire Department and South Jefferson Rescue Squad were dispatched by the Jefferson County 911 Center to Interstate 81 Northbound at Exit 41 in the Village of Adams for a multiple vehicle, roll over Traffic Incident with Injuries. Crews arrived and found multiple vehicles involved with one vehicle in the median which appeared to have rolled over several times. Two occupants trapped inside and other vehicles blocking the Northbound lanes. Interstate 81 Northbound was closed and remained closed for nearly two hours. An additional Advanced Life Support Ambulance and a Life Net Helicopter were requested to the scene. Crews extricated two occupants from one vehicle. One patient was transported by ambulance, and one was transported by Life Net to a hospital in Syracuse. From reports it appears a motor home towing another vehicle entered the Northbound entrance ramp, then turned left heading South in the Northbound Lane colliding with a Northbound vehicle in the passing lane. Adams Chiefs 1-0-1 & 1-0-3, Engines 1-4-1 & 1-4-2, Rescue 1-6-1 and Squad 1-7-2 responded with South Jefferson Rescue and Town of Watertown Ambulances, Life Net 7-10, the Jefferson County Sheriff's Office and the New York State Police. Adams Fire returned to service around 10:20 PM.