Car Crash Injuries in Our Communities: 2024 Report

Every year, the Oregon Department of Transportation (ODOT) publishes crash numbers for every city in the state. We pulled the latest figures, for 2024, for the five cities where most of our patients live and work: Gresham, Oregon City, Happy Valley, Milwaukie and Troutdale.

  • 2,151 crashes in the five cities in 2024
  • 2,037 people injured, up 6.5 percent from 2023
  • 14 people killed
  • About 3 in 5 crashes happened at intersections

Crashes and injuries by city, 2023 and 2024

City Crashes 2023 Crashes 2024 People injured 2023 People injured 2024 Change in injured People killed 2024
Gresham 1,006 1,020 924 965 +4% 11
Oregon City 454 454 398 385 -3% 1
Happy Valley 283 317 270 331 +23% 0
Milwaukie 179 196 174 165 -5% 1
Troutdale 169 164 146 191 +31% 1
Five cities 2,091 2,151 1,912 2,037 +6.5% 14

Counties, 2024: Clackamas County had 4,274 crashes, 3,761 people injured and 38 killed. Multnomah County had 8,874 crashes, 7,358 people injured and 74 killed. Statewide, Oregon had 48,414 crashes, 39,503 people injured and 536 killed.

What stands out

  • Gresham carries the largest load. Nearly half of the five-city crashes (1,020 of 2,151) were in Gresham.
  • Injuries rose fastest in Troutdale and Happy Valley. People injured rose 31 percent in Troutdale (146 to 191) and 23 percent in Happy Valley (270 to 331).
  • Intersections matter. 1,302 of the 2,151 crashes (61 percent) were at intersections.
  • Darkness and wet roads are part of the picture. 679 crashes (32 percent) happened in the dark and 638 (30 percent) on wet roads. Both are common here from October through March.

Year-to-year changes in a single city can be small numbers, so treat one year’s rise or fall as a signal to watch, not a trend.

If you are in a crash

  1. Check for injuries and call 911 if anyone is hurt.
  2. Move to a safe place if you can, and exchange insurance information.
  3. Take photos of the vehicles, the scene and any injuries.
  4. Get checked, even if you feel fine. Pain and stiffness often appear one to three days later.
  5. Call your insurer to open a PIP claim.

What to do after a car accident in Oregon

Why getting checked matters

Many crash injuries, especially neck injuries, do not hurt much at first. A 2019 review in the journal PM&R notes that prognosis studies indicate about half of people with a crash-related neck injury still have neck pain a year after the collision (Nolet et al., 2019). An early exam finds injuries sooner and starts a clear record of your symptoms and care.

Go to an emergency room or call 911 first if you have severe head or neck pain, weakness or numbness on one side, confusion, repeated vomiting, loss of consciousness, or loss of bladder or bowel control.

Oregon PIP pays for your care

Every Oregon auto policy on a private passenger vehicle includes Personal Injury Protection (ORS 742.520). PIP pays reasonable and necessary medical expenses from your own policy, at least $15,000 per person, for care within two years of the crash, no matter who was at fault (ORS 742.524(1)(a)).

How Oregon PIP pays for your care

Care near you

Clinic Address Phone Nearby communities
Oregon City 1404 Molalla Ave, Oregon City, OR 97045 (503) 723-4462 Oregon City, West Linn, Gladstone, Canby
Milwaukie 13152 SE Rusk Rd, Milwaukie, OR 97222 (503) 919-7001 Milwaukie, Oak Grove, Clackamas, Happy Valley
Troutdale 233 E Columbia River Hwy, Troutdale, OR 97060 (503) 491-9266 Troutdale, Gresham, Fairview, Wood Village

Same-day visits are usually available. Book online

About this data

Source: Oregon Department of Transportation, Crash Analysis and Reporting Unit, “Crash Summaries by Year by City” (CDS250) and “Crash Summaries by Year by County” (CDS200), Statewide Motor Vehicle Traffic Crashes 2015 to 2024, generated April 7, 2026. City figures cover crashes within city limits. “People injured” counts every injured person, so it can be higher than the number of crashes.

Reporters, schools and community groups are welcome to use these figures. Please credit ODOT as the source. We update this page each year when ODOT publishes new data.

Auto Injury Chiropractic

Same-day visits at three clinics

Oregon City

1404 Molalla Ave
Oregon City, OR 97045

(503) 723-4462

Mon to Thu 9:00am to 6:00pm
Fri 9:00am to 1:00pm

Book online

Milwaukie

13152 SE Rusk Rd
Milwaukie, OR 97222

(503) 919-7001

Mon to Thu 9:00am to 6:00pm
Fri 9:00am to 1:00pm

Book online

Troutdale

233 E Columbia River Hwy
Troutdale, OR 97060

(503) 491-9266

Mon to Thu 9:00am to 6:00pm
Fri 9:00am to 1:00pm

Book online

Return to a pain-free life.