Two people were rushed to the hospital in critical condition Wednesday evening after a multi-vehicle crash tore through the interchange where US Highway 90 westbound meets State Highway 151 on San Antonio's West Side, snarling traffic for miles during the peak commute.
The San Antonio Fire Department confirmed both patients were transported in critical condition following the wreck, according to KABB, which first reported the crash near Highway 90 westbound and Highway 151. The outlet's report, published Thursday and updated the same afternoon, described it simply as a major crash involving multiple vehicles that caused significant delays through the area. Exact details on how many vehicles were involved and what triggered the pileup have not been released.
The crash lands in one of San Antonio's most heavily traveled and heavily worked-on corridors. The station's report on the interchange comes as ongoing roadwork complicates conditions nearby — Texas Department of Transportation traffic records show active guardrail repair at Highway 151 and Ingram Road and separate construction on US 90 at Old Highway 90 this month, work that can narrow lanes and disrupt normal traffic flow right where drivers are merging at highway speeds.
A Corridor With a History of Major Wrecks
This isn't the first time this stretch has ground to a halt. Per the same account, a major collision in December 2025 on Highway 151 heading toward US 90 forced San Antonio police to shut down multiple lanes, with backups stretching all the way to Callaghan Road. The interchange linking US 90, Highway 151, and Loop 410 sees heavy commuter volume that makes any crash there prone to cascading delays.
The corridor has also seen fatal incidents. Hoodline previously reported that a 20-year-old woman died in November 2025 after losing control of her vehicle and striking a barrier in the westbound lanes of US 90, in a crash San Antonio police said may have involved speed as a contributing factor. That crash, along with a pedestrian death on the same highway reported by Hoodline that same month, underscores how dangerous this stretch of roadway has proven to be.
The Numbers Behind San Antonio's Traffic Toll
The scale of the problem shows up clearly in the statistics. TxDOT's 2024 annual crash report recorded 162 fatal crashes and 170 fatalities within San Antonio city limits alone, along with 596 suspected serious injury crashes. Bexar County as a whole fared even worse, logging 186 fatal crashes, 196 deaths, and 821 suspected serious injuries in 2024 — a toll that ranked the county fourth among all Texas counties for traffic fatalities, according to TxDOT figures cited by Reyes Law Firm.
Statewide, the picture is grimmer still. TxDOT crash facts for 2024 show 4,150 people killed and 18,218 seriously injured on Texas roads, averaging one reportable crash every 57 seconds and one injury roughly every two minutes. Texas has not gone a single calendar day without a roadway death since November 7, 2000, per TxDOT.
What Drivers Are Required to Do at Crash Scenes
TxDOT also runs a free Highway Emergency Response Operator patrol covering major San Antonio expressways, including US 90 and Loop 410, to help clear lanes, move stalled vehicles, and manage traffic during major wrecks like this one. Drivers approaching emergency vehicles or TxDOT response trucks stopped with flashing lights are legally required under Texas Transportation Code § 545.157 — the Move Over or Slow Down law — to shift over a lane or slow to 20 mph below the posted speed limit, or face fines of up to $1,250 for a first offense.
Under Texas Transportation Code § 550.062, investigating officers must submit an official CR-3 crash report to TxDOT within 10 days of any wreck causing injury, death, or at least $1,000 in property damage. That report should eventually clarify how many vehicles were involved and what caused the crash, along with updates on the condition of the two critical patients — details that remain unknown for now.
