A motorist suffered life threatening head and chest injuries after the car she was driving came off the road at the Hole of Horcum and fell 150 feet down a banking.
The vehicle, which was carrying two passengers who also sustained serious injuries, only stopped falling when it came to rest by a tree.
It happened at around 4.50pm on Friday afternoon as the 57 year old from Coventry was driving towards Whitby on the A169 Pickering to Whitby road.
The silver Renault Modus car left the carriageway on its nearside and fell down the embankment.
The Great North Air Ambulance was drafted in to airlift all three people to James Cook Hospital in Middlesbrough and had to anaesthetise her at the scene before she was stable enough to be flown to the major trauma centre.
North Yorkshire Police is appealing for anyone who witnessed the incident to contact them on 101, select option 2 and ask for Steve James. Or email Steven.James771@northyorkshire.pnn.police.uk
Quote reference 12140129355 when providing information about this incident.