Conway, SC (January 5, 2026) – A serious three-vehicle crash resulted in multiple injuries and prompted extensive emergency response efforts along Highway 378, just west of Pee Dee Hwy in the Conway area. The collision occurred around 4:41 a.m., according to Horry County Fire Rescue (HCFR).
Emergency crews arrived to find individuals trapped in the wreckage. Extrication tools were used to remove at least one person from a vehicle. Two people sustained injuries requiring hospital transport, while two others signed medical waivers declining further treatment.
Britton’s Neck and Gresham Volunteer Fire Departments assisted at the scene as HCFR coordinated rescue efforts and managed traffic in the dark early-morning hours.
South Carolina Highway Patrol continues to investigate the cause of the crash. No additional details about the individuals involved or the vehicles have been made public.
Our thoughts are with those injured and all families impacted by this collision.
Multi-Vehicle Collisions and Roadway Risks in South Carolina
The crash on Highway 378 illustrates the critical dangers associated with early-morning travel and multi-vehicle collisions. Roads like this one, serving both local and commuter traffic, can become especially hazardous before sunrise when visibility is limited, and driver alertness may be diminished.
This incident involved not only multiple vehicles but also required specialized rescue operations, highlighting how entrapment can increase injury severity and delay emergency response times. When collisions happen in low-light or rural areas, it can take longer for help to arrive, and coordination between agencies becomes vital.
In situations like these, the need for immediate medical evaluation is paramount, even when victims feel stable. While two individuals accepted hospital transport, two others declined, which can carry a risk if injuries worsen over time. It’s a reminder that the effects of trauma may not be fully apparent in the moments following a crash.
Community fire rescue teams like HCFR and regional volunteers play an essential role in saving lives under high-pressure conditions. Their response ensures victims receive timely assistance and scenes are made safe for further investigation.
For those recovering from serious crashes, questions about what happens next, medical treatment, insurance claims, and recovery options can feel overwhelming. That’s where having the right resources makes a difference.
At Local Accident Reports, we’re here to support victims of major crashes like the one on Highway 378. If you or someone you love was affected by this incident, contact us today to get help navigating your recovery with confidence and care.
