A 38-year-old man was rushed to hospital on Saturday afternoon after an incident at a property near Cassilis, where he fell off a horse which subsequently rolled on top of him.
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He is believed to have sustained serious back, shoulder and head injuries during the accident.
A critical care paramedic team and doctor from Westpac Rescue Helicopter Service quickly attended the scene and treated him.
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He was then prepared for transport and taken immediately to the John Hunter Hospital.
The man was reported to be in a serious condition after arriving in Newcastle.
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