A driver said he blacked out before his car struck a tree at the intersection of Cockram Road and Transit Road, Town of Elba, at 6:04 p.m., Saturday.
The driver, Eric J. Harter, 36, of South Byron, was transported by Mercy Flight to Strong Memorial Hospital.
Sgt. Thomas Sanfratello wrote in his report that alcohol may be a factor in the accident and charges are pending.
Harter was westbound on Cockram when his truck proceeded through the intersection at Transit Road. His truck struck a stand of trees.
Byron and South Byron responded to the scene and extricated Harter from his truck. Elba fire police handled traffic control.