Automobile crashes remain the leading cause of death for adolescents and young adults, compounded by the effects of alcohol and failure to use seatbelts. Although males have tended to be associated with alcohol-related crashes, a study to be presented at the 2007 Society for Academic Emergency Medicine (SAEM) Annual Meeting shows that young females are beginning to show an alarming increase in fatal automobile crashes related to alcohol use and a failure to use seatbelts.