A serious crash occurred on US Highway 281 near Bitters Road, involving three vehicles. The incident happened on a Saturday, just before 3:30 p.m., on the northbound lanes. A medical episode caused one driver to lose control of their vehicle, leading to a chain of collisions.

The crash resulted in two children being seriously injured. They were ejected from a Dodge Ram, which lost control and rolled several times after being struck by another vehicle. The sequence of events began when a Toyota Highlander crossed onto the highway and struck the Dodge Ram, which then crashed into a Chevrolet Suburban.

Further details about the incident are available from the San Antonio Police Department's preliminary report.