At least five people have died after a dust storm fuelled by wind gusts topping 97km/h caused a pileup on Interstate 90 in Montana, authorities said.
More than 20 vehicles crashed and Montana Highway Patrol Sergeant Jay Nelson said authorities believe the weather was the cause.
"It appears as though there were heavy winds, causing a dust storm with zero visibility."
While the highway patrol did not have an immediate count of the number of injuries, Nelson said additional ambulances had to be called in from Billings to help.
Governor Greg Gianforte said on Twitter: "I'm deeply saddened by the news of a mass casualty crash near Hardin. Please join me in prayer to lift up the victims and their loved ones. We're grateful to our first responders for their service."