Most of this guide lives inside one injury: the neck that turned fine on the shoulder of the road and would not turn at 3 a.m. This section steps back and looks at the roads. Every number here comes from a table the Missouri State Highway Patrol publishes, and every number sits next to the name of its table, so you can check the arithmetic yourself.
Where the numbers come from
The Patrol publishes the Missouri Traffic Safety Compendium, a set of tables built from crashes reported into MOCARS, the state's crash reporting system. The tables sort those crashes by severity, by type, by hour, by the circumstances the report lists, and they count the people killed and injured by age. This desk reads four of them for 2023, the latest year the Patrol has published. As of September 13, 2026, the 2024 tables the desk checked return no rows, so nothing here guesses at 2024.
Three severity words run through all of it. A fatal crash is one where someone died. A personal injury crash is one where someone was reported hurt and nobody died. A property damage only crash is one where the report records damage and no injury. Those words describe what was written on the report, not what a clinician later found.
Chart three shares, Missouri 2023
Each bar is one whole table. The amber part is the slice this guide reads. Counts and totals are in the table below.| Figure | Count | Out of | Share | Table |
|---|---|---|---|---|
| Personal injury crashes with a motor vehicle in transport | 23,119 | 34,820 | 66.4% | 1.05 |
| Crashes of all severities, 3:00 to 5:59 p.m. | 34,049 | 136,839 | 24.9% | 1.16 |
| Persons injured, age group 25-34 | 9,911 | 50,369 | 19.7% | 1.20 |
| Personal injury crashes listing following too close | 3,933 | not a share | 1.27 |
Missouri State Highway Patrol, Traffic Safety Compendium 2023. Table 1.27 counts a crash under every circumstance listed for it, so its lines are not shares of a total.
What these tables do not measure
- Whiplash. No table in the compendium records a neck injury, a diagnosis, or a part of the body. A person injured is a person injured, whatever the injury was.
- The St. Louis metro by itself. Every figure in this section is statewide. The Patrol also publishes county and city tables. This guide has not built pages from them, and it does not pretend a statewide share is a local one.
- Crashes nobody reported. A parking-lot tap that ended with two drivers trading phone numbers is not in any table.
- Symptoms that arrived later. A report is written around the time of the crash. If your neck started hurting the next morning, the report may say nothing about it, and a crash filed as property damage only can still be the crash that hurt you.
- Risk. There is no population or miles-driven figure on these pages, so nothing here says an age group or an hour is more dangerous per person or per mile. It says where the counts are.
How to read this if you are sore tonight
Read it as context, not as a verdict. The crash most people in this guide describe, one moving car into another at an ordinary hour, is the everyday injury crash in Missouri, not a rare one. A stiff neck after that kind of crash is not an overreaction to a small event. It is what a large share of the state's injury crashes look like from the inside.
What the tables cannot do is examine you. They do not know which way your head was turned, whether you saw the hit coming, or whether the headache behind your eyes started at the base of your skull. The first visit asks those questions, and the answers go in a dated record that is about you, not about the state.
Chest pain, a sudden severe headache, weakness or numbness on one side, trouble speaking, a loss of bowel or bladder control, or a head injury with vomiting or worsening confusion is an emergency room trip right now, not a call to a clinic. No table changes that.
No ranking of clinics, offices, or doctors. No injury rate built from a population or mileage figure the table does not contain. No projection for any year the Patrol has not published. No claim that a crash type, a circumstance, or an hour caused anybody's injury. The published count, the table it came from, and a plain reading of what it can mean.
The three readings
Crashes by type: the vehicle in front of you
23,119 of 34,820 injury crashes were a collision with another motor vehicle in transport. What that crash type covers, what it does not split out, and why it is the crash this guide is written about.
Following too close, failed to yield, distracted
The circumstances listed on injury crash reports, with the footnote that matters: one crash can be counted under several of them.
Crashes by hour and people injured by age
The busiest crash hour in Missouri is 3 p.m., not 3 a.m. Who was reported hurt, by age, and what an afternoon crash means for a same-week exam.
Numbers are not an exam
The table counts the crash. An exam looks at you.
A documented exam this week protects your health and your options. Call the nearest office, say it was a car crash, give the date, and take the earliest opening.
Missouri Injury Clinic, Joseph L. Hollingsworth, DC. Hazelwood, Tesson Ferry, and O'Fallon. Every office is closed 12 to 2.
Sources
- Missouri State Highway Patrol, Traffic Safety Compendium 2023, table 1.05, "2023 Missouri Crashes by Type and Crash Severity". mshp.dps.missouri.gov, Traffic Safety Compendium. Figures pulled September 13, 2026.
- Missouri State Highway Patrol, Traffic Safety Compendium 2023, table 1.16, "2023 Missouri Fatal and Total Crashes by Hour of Day of Occurrence". mshp.dps.missouri.gov, Traffic Safety Compendium. Figures pulled September 13, 2026.
- Missouri State Highway Patrol, Traffic Safety Compendium 2023, table 1.20, "Persons Killed and Injured in 2023 Missouri Crashes by Age Group". mshp.dps.missouri.gov, Traffic Safety Compendium. Figures pulled September 13, 2026.
- Missouri State Highway Patrol, Traffic Safety Compendium 2023, table 1.27, "2023 Missouri Crashes by Contributing Circumstances, Crash Severity, and Personal Injury Severity". mshp.dps.missouri.gov, Traffic Safety Compendium. Figures pulled September 13, 2026.
These are crashes reported into MOCARS, the state's crash reporting system, and published by the Patrol. 2023 is the latest year the Patrol has published. Percentages on this page are computed by this desk from the counts in the table named beside them.
The Patrol's tables do not record whiplash, neck injuries, or any diagnosis. Where this page connects a count to the neck, that connection is the desk's reading, stated as such.