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Prestonsburg, KY – Two Critically Injured in Pedestrian Hit-and-Run on KY-321

July 15, 2025
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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.

Note: These posts are created solely for the use of Local Accident Reports. We have not verified the information in these posts as the information is gathered from secondary sources. If you have personal knowledge that the information contained in these posts is inaccurate, please contact Local Accident Reports immediately so we can make the necessary corrections or remove the story.

Disclaimer: We are providing this information to the general public as a resource to use in the event you or a family member are injured in a similar incident. Every effort is put forth to honor the victims of accidents, and hope the information presented helps others avoid the same type of accidents in the future. The photos depicted in these posts are not representative of the actual accident scene. Please contact Local Accident Reports at (888) 657-1460 to be connected with an attorney in your area who will answer any legal questions you may have.

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Our thoughts are with everyone affected by this incident. If you or a loved one were injured in this accident, it’s important to speak with an attorney as soon as possible to protect your rights and explore your legal options.

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At Local Accident Reports, we are committed to providing you with the resources and guidance you need after an accident. In addition to your free police report, you can schedule a free consultation with a personal injury attorney to learn more about pursuing compensation.If you have any questions about your legal rights, don’t hesitate to call. We’re here to help.
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What to Do Next After a Serious Accident

After a tragic accident, it’s natural to seek as much information as possible. However, online reports are based on third-party sources and may not always provide accurate details. The official police report taken at the scene is the only report that can offer verified information to help you move forward.

Option 1: Request an Official Police Report

If you were involved in a serious accident or are the surviving family member of someone who was, you have the right to obtain the official police report. This report contains critical details that may help with insurance claims, legal action, or understanding what happened.

Option 2: Get Support & Resources

Coping after a tragic accident can be overwhelming. Help is available. Our organization connects individuals and families with local support services, including grief counseling and assistance with financial hardships.

Option 3: Free Legal Case Review

If you or a loved one were injured in a serious accident, speaking with an attorney can help protect your rights and maximize your compensation. A free case review ensures you understand your legal options with no obligation.

Our thoughts are with everyone affected by this accident. If you need help, don’t hesitate to take the next step.