Three young girls have plummeted about 12 metres from a Ferris wheel after their basket flipped upside down, leaving one in a critical condition.
The girls, aged six, 10 and 16, tumbled from the ride at the Greene County Fair in the US state of Tennessee about 6.15pm Monday (9.15am Tuesday AEST).
The girls were rushed to Johnson City Medical Centre, where the six-year-old remains in a critical condition with a traumatic brain injury.
Dr Bracken Burns, director of trauma services, said the six-year-old was in the seat with her sister, 10, and the other girl.
Those girls are in stable condition, although the 10-year-old suffered injuries to her forearms. Their names have not been released.