Pedestrian AccidentUpdated March 2026

Hit by a Car While Walking in St. Louis?

Pedestrians don't have airbags, seatbelts, or a steel frame. When a car hits you on foot, the injuries are almost always serious. St. Louis recorded a record 23 pedestrian deaths in 2024, and Grand Boulevard, Kingshighway Boulevard, and Gravois Avenue together account for 44% of pedestrian fatalities in the city. Missouri follows pure comparative negligence — you can recover compensation even if you share some fault. Here's what to do right now.

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Key Takeaways

  • Get out of the traffic lane and call 911 immediately — if the driver fled, give the dispatcher every detail you can about the vehicle, since hit-and-runs are common in St. Louis pedestrian crashes.
  • Missouri's statute of limitations is 5 years for personal injury (Mo. Rev. Stat. § 516.120) and 3 years for wrongful death (Mo. Rev. Stat. § 537.100) — claims against government entities require 90-day notice (Mo. Rev. Stat. § 537.600).
  • Under Missouri's pure comparative negligence rule (Mo. Rev. Stat. § 537.765), the insurance company will try to blame the pedestrian, but drivers always have a duty of care to watch for pedestrians regardless of whether you were in a crosswalk.
  • St. Louis recorded a record 23 pedestrian deaths in 2024 — a 187% increase over 2023. Nine streets account for nearly 50% of pedestrian fatalities since 2017, with Grand Boulevard, Kingshighway, Chippewa, Broadway, and Gravois alone responsible for 44% of deaths despite comprising only 1% of the city's road network.
  • If the driver fled, your own uninsured motorist (UM) coverage applies even when you were on foot — Missouri requires UM coverage on all auto policies with minimums of $25,000/$50,000.
  • Most pedestrian accident attorneys in St. Louis work on contingency with free consultations — pedestrian cases often involve severe injuries and higher damages, and an attorney can obtain surveillance footage and push for a thorough investigation.
1

Get Out of the Road and Call 911

If you've been hit by a car, your first priority is getting out of the traffic lane if you can move safely. St. Louis sits at the convergence of four major interstate highways — I-70, I-64, I-44, and I-55 — and its surface streets carry heavy traffic through a compact metro area. Grand Boulevard, Kingshighway Boulevard, and Gravois Avenue are among the most dangerous roads for pedestrians in the city.

Call 911 immediately. If the driver who hit you is still at the scene, do not let them leave without police documenting the incident. If the driver fled, give the dispatcher every detail you can: vehicle make, model, color, direction of travel, any part of the plate number. St. Louis Metropolitan Police (SLMPD) will respond and create an official crash report.

Even if your injuries seem minor, get police on the scene. A crash report is your most important piece of evidence. Without it, proving what happened becomes exponentially harder — and the driver's insurance company will use any gap in documentation to minimize your claim.

2

Get Medical Attention the Same Day

Pedestrian injuries are almost always more severe than they initially feel. Adrenaline and shock mask pain. Concussions, internal bleeding, fractures, spinal injuries, and traumatic brain injuries often don't produce full symptoms for hours or even days after the impact.

Go to an emergency room the same day. Barnes-Jewish Hospital at 1 Barnes Jewish Hospital Plaza is St. Louis's premier Level I trauma center, affiliated with Washington University School of Medicine. SSM Health Saint Louis University Hospital at 1201 South Grand Boulevard is a second Level I trauma center in the city. Mercy Hospital St. Louis at 615 South New Ballas Road is the only Level I trauma center in St. Louis County. For children, St. Louis Children's Hospital at One Children's Place is the region's only ACS-verified Level I Pediatric Trauma Center.

Tell the doctor exactly what happened — that you were struck by a vehicle while on foot. This creates a documented medical link between the crash and your injuries on day one. Without that link, the insurance company will argue your injuries were pre-existing or caused by something else.

Keep every receipt, every doctor's note, and every prescription. Follow-up appointments, physical therapy, imaging, and specialist visits all build your case and directly impact the compensation you may be entitled to.

3

Document the Scene Thoroughly

If you're physically able, pull out your phone and photograph everything before you leave the scene: the intersection or stretch of road where you were hit, traffic signals or signs, crosswalk markings (or the absence of them), skid marks, debris, your injuries, the driver's vehicle and license plate, road conditions, and weather.

Get the driver's full name, phone number, insurance company and policy number, driver's license number, and license plate number. If there are witnesses, ask for their names and phone numbers — witness testimony is especially valuable in pedestrian cases because the driver's insurance company will try to argue you were at fault.

Look around for security cameras. Gas stations, ATMs, businesses, and traffic cameras at intersections may have captured the crash. Note their locations so your attorney can request the footage before it gets overwritten — most systems record over old footage within 7 to 30 days.

Write down exactly what happened while it's fresh: where you were walking, whether you were in a crosswalk, what direction you were going, the direction the vehicle was traveling, the speed it seemed to be going, and whether the driver stopped. These details matter under Missouri's comparative fault analysis.

4

File a Police Report

If SLMPD responded to the scene, they'll generate a crash report automatically. If officers did not respond — which can happen during high-volume periods, as St. Louis averages roughly 25 crashes per day — you should file a report yourself.

Missouri law requires drivers to file a written crash report with the Missouri Department of Revenue within 5 days if the crash caused injury, death, or property damage of $500 or more and was not investigated by law enforcement.

To obtain a copy of your St. Louis Police crash report, request it from the SLMPD Records Service Center at 1915 Olive Street, 1st Floor, St. Louis, MO 63103, or by phone at (314) 444-5551 (Monday through Friday, 8:00 AM to 4:00 PM). The fee is $6 to $10 for a standard crash report. Payment is by cash, money order, or business check — no personal checks or debit/credit cards. Reports can also be requested online through the SLMPD Public Records portal. Reports are typically available within 5 to 10 business days after the crash.

5

Do NOT Give a Recorded Statement to the Driver's Insurance

The driver's insurance company will contact you quickly — often within 24 to 48 hours. They will sound sympathetic. They are not on your side. Their strategy in pedestrian cases is almost always the same: blame you. They'll argue you weren't in a crosswalk, you were distracted by your phone, you crossed against the signal, or you were wearing dark clothing at night.

You are not legally required to give them a recorded statement. If they ask, say: 'I'm not prepared to give a statement at this time.' Don't let them rush you. Anything you say can and will be used to increase the percentage of fault attributed to you — which under Missouri's pure comparative negligence rule directly reduces your compensation dollar for dollar.

They may also offer a quick settlement. Don't accept it. Early offers are almost always far below the true value of your claim, especially before you know the full extent of your injuries. Pedestrian crash injuries frequently require months of treatment, and the full cost isn't clear for weeks or months.

6

Understand Missouri's Pure Comparative Negligence Rule

Missouri follows pure comparative negligence under Mo. Rev. Stat. § 537.765. This is one of the most plaintiff-friendly fault rules in the country — and it matters enormously in pedestrian cases.

Your compensation is reduced by your percentage of fault, but recovery is never completely barred. Even if you're found 60% at fault, you can still recover 40% of your damages. There is no threshold that cuts off your right to compensation. If your damages total $200,000 and you're found 30% at fault, your recovery is $140,000.

Drivers always have a duty of care toward pedestrians. Missouri law requires drivers to yield to pedestrians in crosswalks (Mo. Rev. Stat. § 300.375), exercise due care to avoid striking a pedestrian (Mo. Rev. Stat. § 300.380), and give audible warning when necessary. The fact that a pedestrian was outside a crosswalk does not eliminate the driver's duty of care — it may reduce the percentage of fault attributed to the driver, but it doesn't eliminate it.

Any defendant found 51% or more at fault is jointly and severally liable for the full compensatory judgment under Mo. Rev. Stat. § 537.067. This matters when multiple parties share responsibility — for example, if a road design flaw contributed to the crash alongside driver negligence.

7

Know the Deadlines

Under Mo. Rev. Stat. § 516.120, you have five years from the date of the crash to file a personal injury lawsuit in Missouri. This is one of the longest statutes of limitations in the country. For wrongful death, the deadline is shorter: Mo. Rev. Stat. § 537.100 gives eligible family members three years from the date of death to file.

For claims against government entities — such as the City of St. Louis, St. Louis County, or MoDOT for dangerous road design or missing crosswalks — a 90-day notice may be required under Mo. Rev. Stat. § 537.600 et seq. Missing this notice deadline can forfeit your right to sue the government entity entirely.

Don't let the long statute of limitations create a false sense of security. Evidence fades, witnesses move, surveillance footage gets overwritten, and memories become unreliable. Starting early gives your attorney more leverage and access to better evidence.

8

Consider Talking to a Personal Injury Attorney

Pedestrian accident cases in St. Louis often involve severe injuries — traumatic brain injuries, spinal cord damage, multiple fractures, internal organ damage. The medical costs alone can be staggering, and the insurance company's goal is to minimize what they pay.

An experienced St. Louis pedestrian accident attorney can investigate the crash thoroughly, obtain surveillance footage before it's overwritten, work with accident reconstruction experts, handle all communication with the insurance company, and fight to minimize the fault attributed to you under Missouri's comparative negligence system.

St. Louis City is an independent city — not part of St. Louis County. Your case will be filed in either the 22nd Judicial Circuit (city) or the 21st Judicial Circuit (county) depending on where the crash happened. If a government entity is involved (dangerous road design, missing crosswalk, broken traffic signal), the 90-day notice requirement adds urgency.

Initial consultations are free, and most pedestrian accident attorneys in St. Louis work on contingency — you pay nothing unless they win your case. Given the severity of most pedestrian injuries and the insurance company's incentive to blame you, having professional representation is critical to protecting your claim.

St. Louis Pedestrian Accident Facts

23

pedestrian fatalities in St. Louis City in 2024 — a 187% increase over 2023 and a record high. Missouri recorded 148 pedestrian deaths statewide.

Trailnet 2024 Crash Report

44%

of pedestrian deaths in St. Louis City occur on just 5 roads (Grand, Kingshighway, Chippewa, Broadway, Gravois) — despite those streets comprising only 1% of the city's road network

Trailnet 2024 Crash Report

5 Years

statute of limitations for most personal injury claims in Missouri (Mo. Rev. Stat. § 516.120)

Missouri Revised Statutes

~20.7%

estimated percentage of Missouri drivers who are uninsured — if the driver who hit you has no insurance, your own UM coverage may apply

Insurance Research Council (2023)

Most Dangerous Roads for Pedestrians in St. Louis

St. Louis's pedestrian fatality crisis is concentrated on what Trailnet's 2024 Crash Report calls the 'Deadly Nine' — nine streets that account for nearly 50% of all pedestrian fatalities since 2017: Grand Boulevard, Kingshighway, Broadway, Gravois Avenue, Chippewa Street, MLK Drive, Union Boulevard, Lindell Boulevard, and Natural Bridge Avenue. Grand, Kingshighway, Chippewa, Broadway, and Gravois alone are responsible for 44% of pedestrian deaths despite comprising only 1% of the city's road network. North Grand Boulevard and Montgomery Street is Missouri's single most dangerous intersection, with 6 fatalities between 2010 and 2019. Kingshighway recorded over 500 crashes in a concentrated area near Barnes-Jewish Hospital. Natural Bridge Avenue saw over 1,400 crashes from 2012 to 2017. These roads share common characteristics: wide lanes that encourage speeding, long blocks without safe crossing points, and heavy traffic volumes. Speed is the single biggest factor — a pedestrian hit at 20 mph has a 5% chance of dying, but at 30 mph that jumps to 45%. In 2022, 95% of pedestrian fatalities in St. Louis County occurred on roads with speed limits of 35 mph or higher. The city has allocated $46 million in ARPA funding for traffic calming on high-crash corridors including Goodfellow, Union, Kingshighway, Grand, and Broadway — but crash volumes remain stubbornly high.

Missouri's Pure Comparative Negligence in Pedestrian Cases

Insurance companies handling pedestrian claims in Missouri almost always argue that the pedestrian shares fault. They'll point to crossing outside a crosswalk, walking at night without reflective clothing, being distracted by a phone, or crossing against a signal. Under Missouri's pure comparative negligence rule (Mo. Rev. Stat. § 537.765), these arguments don't eliminate your claim — they reduce your recovery proportionally. If you're found 25% at fault and your damages are $300,000, your recovery is $225,000. Critically, Missouri law still requires drivers to exercise due care to avoid striking pedestrians regardless of whether the pedestrian was in a crosswalk (Mo. Rev. Stat. § 300.380). A driver who was speeding, distracted, or failed to keep a proper lookout bears significant fault even if the pedestrian was crossing mid-block. The joint and several liability rule (Mo. Rev. Stat. § 537.067) means that any defendant found 51% or more at fault is liable for the entire compensatory judgment — an important protection when a pedestrian's injuries are catastrophic and full recovery is essential.

If the Driver Fled: Your Uninsured Motorist Coverage

Hit-and-runs account for a significant share of pedestrian crashes in St. Louis. If the driver who hit you fled the scene and is never identified, you're not necessarily out of options. Missouri requires all auto insurance policies to include uninsured motorist (UM) coverage with minimums of $25,000 per person and $50,000 per accident — and this coverage applies even when you were on foot, not in a vehicle, at the time of the crash. Your own UM policy (or a household member's policy) can cover your medical bills, lost wages, pain and suffering, and other damages up to the policy limit. Many Missouri drivers carry UM coverage well above the state minimum, especially if they have an umbrella policy. Filing a UM claim is a claim against your own insurance company, which creates a different dynamic — your insurer owes you a duty of good faith, and bad faith claim handling can expose them to additional liability. An attorney experienced in UM claims can help you navigate this process and push back if your own insurer tries to undervalue your claim.

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Pedestrian Accident FAQ — St. Louis & Missouri

Yes. Missouri follows pure comparative negligence (Mo. Rev. Stat. § 537.765), which means your recovery is reduced by your percentage of fault but never completely barred. Crossing outside a crosswalk may increase the fault attributed to you, but drivers still have a legal duty to exercise due care to avoid hitting pedestrians (Mo. Rev. Stat. § 300.380) regardless of where the pedestrian was walking.

Five years from the date of the crash for personal injury claims (Mo. Rev. Stat. § 516.120). For wrongful death, the deadline is three years from the date of death (Mo. Rev. Stat. § 537.100). Claims against government entities may require 90-day notice under Mo. Rev. Stat. § 537.600.

Your uninsured motorist (UM) coverage applies even when you were on foot. Missouri requires all auto policies to include UM coverage with minimums of $25,000/$50,000. File a police report immediately and give every detail you can about the vehicle. An attorney can also help obtain surveillance footage and push for a thorough investigation.

You can recover medical expenses (current and future), lost wages and earning capacity, pain and suffering, emotional distress, scarring and disfigurement, rehabilitation costs, and loss of quality of life. Missouri has no cap on non-economic damages in most personal injury cases. Pedestrian injuries tend to be severe — traumatic brain injuries, spinal cord damage, multiple fractures — and the full cost of treatment often extends over months or years.

Missouri does not have a statewide jaywalking statute in the traditional sense, but local ordinances may apply. St. Louis City has ordinances requiring pedestrians to use crosswalks at signalized intersections. Regardless, drivers always have a duty to exercise due care to avoid striking pedestrians under Mo. Rev. Stat. § 300.380, even if the pedestrian was crossing outside a crosswalk.

Be extremely careful. You are not legally required to give a recorded statement to the other driver's insurance company. Their goal is to attribute as much fault to you as possible, reducing your compensation under Missouri's comparative negligence rule. Politely decline to give a statement until you've consulted with an attorney.

You may have a claim against the government entity responsible for maintaining the road — such as the City of St. Louis, St. Louis County, or MoDOT. Missing crosswalks, broken traffic signals, inadequate lighting, and road designs that encourage speeding can all contribute to liability. A 90-day notice is required for government claims under Mo. Rev. Stat. § 537.600.

Yes — for jurisdiction and government claims. St. Louis City is an independent city with its own court system (22nd Judicial Circuit). St. Louis County is a separate jurisdiction (21st Judicial Circuit). If a government entity is involved, you need to know whether the road is maintained by the city, the county, or MoDOT, since the 90-day notice goes to different entities.

Yes. Missouri's wrongful death statute (Mo. Rev. Stat. § 537.080) allows the spouse, children, parents, or siblings of the deceased to bring a wrongful death claim. The deadline is three years from the date of death (Mo. Rev. Stat. § 537.100). Damages can include funeral expenses, lost financial support, loss of companionship, and the pain and suffering the deceased experienced before death.

Most pedestrian accident attorneys in St. Louis work on contingency — you pay nothing upfront, and the attorney only gets paid if you recover compensation. The typical contingency fee is 33% of the settlement before trial. Initial consultations are free. Given the severity of most pedestrian injuries and the insurance company's incentive to blame you, professional representation is important for protecting your claim.

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