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Pile-ups are among the worst types of accidents. They involve multiple cars, trucks, and possibly semi-trucks. Once it’s over, extracting victims from their vehicles will take longer than a simple one or two vehicle crash. This delay in their hospitalization can mean the difference between life and death. That’s why it’s best to never allow yourself to become involved in a pile-up accident. Here are four safety suggestions for avoiding them: Maintain a Three Second Following Distance When the vehicle in front passes by a sign, overpass, or shadow, count.