A 19-year-old man who rolled his ute called his own ambulance after laying trapped for two hours with spinal injuries.
The teenager was found by emergency services in a central Hawkes Bay paddock and airlifted to Hawkes Bay Hospital by the Lowe Corporation Rescue Helicopter about 8am on Saturday.
It's understood he had lost control of the ute he was driving and plunged down a bank and into a paddock at the side of the road.
The accident occurred far up Tukituki Rd near the Ruahine Range. It is believed the man had come from a dairy farm on which he had been working.
Constable Andy Walker of Waipukurau police said it was believed the man had been in the crashed vehicle for a couple of hours before he was found.