Prestonsburg, KY (July 15, 2025) – Two people were left in critical condition after being struck by a vehicle Monday morning while walking along KY-321 near the Prestonsburg Waste Water Treatment Plant, according to local police reports. The collision occurred under hit-and-run circumstances but was later linked to a possible medical episode involving the driver.
Prestonsburg Police confirmed that the vehicle involved initially fled the scene, prompting an urgent search. Investigators were able to quickly identify the vehicle and locate the suspected driver, who turned out to be an elderly individual. Authorities believe the driver may have suffered a medical episode and was unaware they had hit anyone.
Despite the initial classification as a hit-and-run, police now say the driver is cooperating fully with the investigation. The incident remains under active review to determine contributing factors, including whether the driver’s medical condition played a role in the failure to remain at the scene.
The two injured pedestrians were transported by emergency medical services to a regional trauma center and were last reported to be in critical condition. Their identities have not been released pending family notification.
Our thoughts are with the victims and their loved ones during this difficult time, and we hope for their full and swift recovery.
Pedestrian Crashes and Vulnerable Road Users in Kentucky
Monday morning’s incident in Prestonsburg underscores the continued dangers faced by pedestrians across Kentucky, particularly along high-traffic corridors like KY-321. Pedestrian crashes often result in severe or life-threatening injuries, especially when they occur at roadway edges or in areas lacking designated sidewalks and crossings.
In this case, both victims were walking near a municipal facility—likely without full pedestrian infrastructure—when they were struck by a vehicle. While the initial hit-and-run status of the crash raised concerns, the update revealing that the elderly driver may have experienced a medical issue adds complexity to the investigation.
Such cases highlight the importance of regular health screenings and driving assessments for aging individuals. While many older adults remain capable drivers, medical events such as fainting, stroke, or confusion can impair awareness and delay reaction time—sometimes with tragic outcomes.
Critical injury incidents like this one also place a spotlight on Kentucky’s pedestrian safety initiatives, which aim to reduce harm through public awareness, improved signage, and safer roadway design. Still, in many smaller towns, infrastructure gaps leave pedestrians exposed and vulnerable.
When hit by a vehicle, victims and their families often face overwhelming challenges, including extended hospital stays, rehabilitation, and financial strain. In complex cases where medical emergencies or unforeseen health issues are involved, determining legal outcomes can be equally difficult. Nonetheless, injured pedestrians have the right to seek answers, support, and compensation when another party’s vehicle causes them harm.
If you or a loved one has been injured in a pedestrian crash, don’t navigate the aftermath alone. Local Accident Reports provides reliable guidance, helping victims connect with medical providers and legal professionals to protect their well-being and future. Reach out today and take the first step toward recovery with confidence.