Emergency? Chest pain, a severe sudden headache, one-sided weakness, or confusion after a head hit is an emergency room trip, not a clinic call.Chest pain, severe headache, one-sided weakness, or confusion after a head hit: emergency room, not a clinic.
Emergency? The ER signsCall 911

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.

Wire // West County // 2026
West County Wellness WireOn the wire for Manchester Road

Bulletin desk
Ballwin, Ellisville, Manchester, Des Peres,
Wildwood, Town and Country, Chesterfield

8,151 crashes inside 13 West County cities in 2023. Here is the wire copy on what that means.

What the Missouri State Highway Patrol counted inside the city limits of Chesterfield, Ballwin, Manchester, Wildwood, and nine more, in 2023, the latest year the Patrol has published. Sourced by table. No clinic is rated here.

  • Thirteen West County cities recorded 8,151 crashes inside their limits in 2023, 1,808 of them injury crashes.
  • 2,486 people were injured in those crashes.
  • The rows count crashes inside city limits only. Unincorporated West County is not in them.
  • Counts are not rates and not grades. No clinic is rated or ranked on the Wire.

The Wire does not print a crash count it cannot source. This file is the sourced count. The Missouri State Highway Patrol's Traffic Safety Compendium publishes a table of 2023 crashes by municipality, table 17.01, and thirteen West County cities have rows in it: Chesterfield, Creve Coeur, Maryland Heights, Kirkwood, Sunset Hills, Town and Country, Fenton, Des Peres, Wildwood, Manchester, Webster Groves, Ballwin, and Ellisville. Their rows add to 8,151 crashes, 1,808 personal injury crashes, and 2,486 people injured.

2023 is the latest year the Patrol has published. Every number below names its table, every chart has a table with the same numbers, and nothing on these files rates or ranks a clinic.

13 West County cities, 20238,151crashes reported inside their city limits
Injury crashes1,80822.2 percent of those crashes
People injured2,486in those 1,808 injury crashes
Injury crashes inside city limits, 13 West County cities, 2023Table 17.01. Personal injury crashes, most to fewest.
Chesterfield278
Creve Coeur255
Maryland Heights218
Town and Country210
Sunset Hills167
Des Peres100
Kirkwood99
Fenton95
Manchester95
Ballwin86
Webster Groves78
Wildwood74
Ellisville53
Thirteen West County cities, 2023 (table 17.01)
CityCrashesInjury crashesPeople injured
Chesterfield1,054278390
Creve Coeur976255374
Maryland Heights968218289
Town and Country668210298
Sunset Hills750167241
Des Peres484100123
Kirkwood78399124
Fenton52395129
Manchester42395121
Ballwin36286121
Webster Groves37578101
Wildwood4597498
Ellisville3265377
All 138,1511,8082,486

What these numbers are

Each row starts as crash reports written by law enforcement and entered into MOCARS, the statewide crash record system the Patrol builds its compendium from. Table 17.01 sorts each municipality's crashes into fatal crashes, personal injury crashes, and property damage only, and it also counts the people killed and injured. A row counts crashes that happened inside that city's limits.

The Wire draws West County wide, out to Wildwood and Fenton and in to Webster Groves and Kirkwood, and prints each city on its own line so nobody has to accept the boundary to use the numbers.

What they are not

Not all of West County. Stretches of West County are unincorporated, and a crash there is in no city's row. The thirteen rows add to 29.4 percent of the 27,720 crashes the Patrol's county table counts for all of St. Louis County.

Not where people live. A Ballwin resident who crashed on Highway 141 in another city's limits is counted in that other city's row.

Not a rate or a grade. The table carries no population or traffic, so the Wire does not turn these counts into rates, and a short bar is not a safe road.

Not a diagnosis. A crash filed as property damage only was filed at the scene. The day two file is about why the neck often reports later.

How the three detail files read

The bulletin for anyone hurt

A count is background. It tells you the injury crash is an ordinary event on these roads, 1,808 times in one year inside thirteen city limits, and it tells you nothing about your own neck, back, or head. That part takes an exam.

The near office for most of West County is Missouri Injury Clinic's Tesson Ferry office, 11144 Tesson Ferry Road, Suite 200, open Monday through Thursday from 9 to 6 and Friday from 9 to noon, closed daily from 12 to 2. The clinic did not supply these numbers, and they say nothing about the clinic.

  • Missouri State Highway Patrol, Missouri Traffic Safety Compendium 2023, table 17.01: 2023 Missouri Crashes by Municipality, Crash Severity, and Personal Injury Severity.
  • Missouri State Highway Patrol, Missouri Traffic Safety Compendium 2023, table 1.13: 2023 Missouri Crashes by County and Crash Severity.
  • Missouri State Highway Patrol, Missouri Traffic Safety Compendium 2023, table 1.27: 2023 Missouri Crashes by Contributing Circumstances, Crash Severity, and Personal Injury Severity.
  • Missouri State Highway Patrol, Missouri Traffic Safety Compendium 2023, table 1.14: 2023 Missouri Fatal and Total Crashes by Month of Occurrence.

Read the tables at the Missouri State Highway Patrol Traffic Safety Compendium on mshp.dps.missouri.gov. Tables pulled September 13, 2026. These are crashes reported into MOCARS, the statewide crash record system the compendium is built from. 2023 is the latest year the Patrol has published; its 2024 county table returned no rows on that date. Shares, sums, per-day, and per-1,000 figures are the Wire's arithmetic on the published counts, not numbers the Patrol printed.

The numbers are background. The exam is the bulletin.

Crashed inside one of these city limits, or anywhere else? Call the Tesson Ferry office, say it is a crash exam, and take the first slot you can drive to.

Get an exam this week Call Tesson Ferry (314) 530-5480 Offices close 12 to 2 every day. Call in the morning or after two.

The bright line. 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.

Advertising disclosureThis page is advertising. This desk is compensated for featuring Missouri Injury Clinic, and it is not the clinic, not a law office, and not a party to anyone's insurance claim. We publish only the lanes, offices, and hours the clinic publishes on moinjuryclinic.com. We do not write reviews, rank providers, or give medical or legal advice. Everything on this desk is educational. It is not medical advice, not a diagnosis, and not a substitute for an exam by a licensed clinician.