Erica Smith was left laying on the road for over an hour after she was assumed dead in a severe Texas auto accident. She suffered a severe head trauma and was thought dead, but paramedics failed to check for a pulse, despite the fact that San Antonio officials said the official policy is for paramedics to check for a pulse regardless of their initial assessment of injury victims’ health.

The 23-year-old Texas State University student died from her injuries the next day, and it is unknown whether or not this serious oversight was a contributing factor to her death following the Texas auto accident.

Erica Smith laid under a tarp for over an hour before a medical examiner discovered she was breathing.