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Tesla Q4 2018 Vehicle Safety Report: 1 accident per 2.91M miles with Autopilot engaged

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Tesla has released the results of its Q4 2018 Vehicle Safety Report. Just like the company’s previous report in Q3 2018, Tesla released updated numbers for incidents that occurred both when Autopilot was engaged and when the driver-assist feature was deactivated.

Tesla released its first Vehicle Safety Report after the third quarter of 2018. During that period, the electric car maker registered one accident or crash-like event for every 3.34 million miles driven with Autopilot active, and one accident or crash-like event for every 1.92 million miles driven with Autopilot disengaged. During the time of the Q3 report’s publication, the NHTSA’s data noted that a car crash was recorded in the United States for every 492,000 miles driven.

In its Q4 2018 report, the company noted that its numbers include instances when its electric cars were hit by another object or vehicle. That said, here are the overall results of Tesla’s Q4 2018 Vehicle Safety Report.

“In the 4th quarter, we registered one accident for every 2.91 million miles driven in which drivers had Autopilot engaged. For those driving without Autopilot, we registered one accident for every 1.58 million miles driven. By comparison, NHTSA’s most recent data shows that in the United States there is an automobile crash every 436,000 miles.”

It should be noted that the fourth quarter covered the winter months of 2018, which have less daylight and result in more challenging driving conditions. This generally causes more incidents for all types of vehicles, both electric and fossil fuel-powered. The NHTSA does not release quarterly statistics for car crashes, though a closer look at the agency’s GES database shows that a similar pattern (an uptick in incidents during the winter months) was exhibited in 2014 and 2015. The NHTSA’s data for 2016 is currently unavailable.

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Tesla’s vehicles, thanks to their all-electric design, are among the safest cars on the road. Being made of ultra-high-strength steel and aluminum, Tesla’s vehicles are sturdy. The electric cars have extra large crumple zones as well due to their all-electric design. These, together with a combination of passive safety, active safety, and automated driver assistance, work hand in hand help Tesla’s vehicles attain their stellar safety ratings from agencies like the NHTSA.

Elon Musk’s statements about the safety of Tesla’s electric cars are not empty. After all, the company’s vehicles are known for their high ratings with agencies like the NHTSA. The Model 3 and the Model X have gained perfect 5-Star Safety Ratings, and the Model S infamously broke one of the agency’s crash testing gear when it was being tested due to its durability. Today, the Model 3, Model S, and Model X stand among the NHTSA’s vehicles with the lowest probability of injury during accidents. 

In true Tesla fashion, though, the company continues to make improvements on its vehicles’ safety features, as teased in recent patent applications hinting at safer airbag deployment systems using seat sensors, and damage monitoring systems that could proactively warn drivers when a component needs service or repair.

Tesla’s Q4 2018 vehicle safety report can be accessed in full here.

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Simon is an experienced automotive reporter with a passion for electric cars and clean energy. Fascinated by the world envisioned by Elon Musk, he hopes to make it to Mars (at least as a tourist) someday. For stories or tips--or even to just say a simple hello--send a message to his email, simon@teslarati.com or his handle on X, @ResidentSponge.

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Man credits Grok AI with saving his life after ER missed near-ruptured appendix

The AI flagged some of the man’s symptoms and urged him to return to the ER immediately and demand a CT scan.

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Credit: Grok Imagine

A 49-year-old man has stated that xAI’s Grok ended up saving his life when the large language model identified a near-ruptured appendix that his first ER visit dismissed as acid reflux. 

After being sent home from the ER, the man asked Grok to analyze his symptoms. The AI flagged some of the man’s symptoms and urged him to return immediately and demand a CT scan. The scan confirmed that something far worse than acid reflux was indeed going on.

Grok spotted what a doctor missed

In a post on Reddit, u/Tykjen noted that for 24 hours straight, he had a constant “razor-blade-level” abdominal pain that forced him into a fetal position. He had no fever or visible signs. He went to the ER, where a doctor pressed his soft belly, prescribed acid blockers, and sent him home. 

The acid blockers didn’t work, and the man’s pain remained intense. He then decided to open a year-long chat he had with Grok and listed every detail that he was experiencing. The AI responded quickly. “Grok immediately flagged perforated ulcer or atypical appendicitis, told me the exact red-flag pattern I was describing, and basically said “go back right now and ask for a CT,” the man wrote in his post. 

He copied Grok’s reasoning, returned to the ER, and insisted on the scan. The CT scan ultimately showed an inflamed appendix on the verge of rupture. Six hours later, the appendix was out. The man said the pain has completely vanished, and he woke up laughing under anesthesia. He was discharged the next day.

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How a late-night conversation with Grok got me to demand the CT scan that saved my life from a ruptured appendix (December 2025)
byu/Tykjen ingrok

AI doctors could very well be welcomed

In the replies to his Reddit post, u/Tykjen further explained that he specifically avoided telling doctors that Grok, an AI, suggested he get a CT scan. “I did not tell them on the second visit that Grok recommended the CT scan. I had to lie. I told them my sister who’s a nurse told me to ask for the scan,” the man wrote. 

One commenter noted that the use of AI in medicine will likely be welcomed, stating that “If AI could take doctors’ jobs one day, I will be happy. Doctors just don’t care anymore. It’s all a paycheck.” The Redditor replied with, “Sadly yes. That is what it felt like after the first visit. And the following night could have been my last.”

Elon Musk has been very optimistic about the potential of robots like Tesla Optimus in the medical field. Provided that they are able to achieve human-level articulation in their hands, and Tesla is able to bring down their cost through mass manufacturing, the era of AI-powered medical care could very well be closer than expected. 

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Tesla expands Model 3 lineup in Europe with most affordable variant yet

The Model 3 Standard still delivers more than 300 miles of range, potentially making it an attractive option for budget-conscious buyers.

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Credit: Tesla

Tesla has introduced a lower-priced Model 3 variant in Europe, expanding the lineup just two months after the vehicle’s U.S. debut. The Model 3 Standard still delivers more than 300 miles (480 km) of range, potentially making it an attractive option for budget-conscious buyers.

Tesla’s pricing strategy

The Model 3 Standard arrives as Tesla contends with declining registrations in several countries across Europe, where sales have not fully offset shifting consumer preferences. Many buyers have turned to options such as Volkswagen’s ID.3 and BYD’s Atto 3, both of which have benefited from aggressive pricing.

By removing select premium finishes and features, Tesla positioned the new Model 3 Standard as an “ultra-low cost of ownership” option of its all-electric sedan. Pricing comes in at €37,970 in Germany, NOK 330,056 in Norway, and SEK 449,990 in Sweden, depending on market. This places the Model 3 Standard well below the “premium” Model 3 trim, which starts at €45,970 in Germany. 

Deliveries for the Standard model are expected to begin in the first quarter of 2026, giving Tesla an entry-level foothold in a segment that’s increasingly defined by sub-€40,000 offerings.

Tesla’s affordable vehicle push

The low-cost Model 3 follows October’s launch of a similarly positioned Model Y variant, signaling a broader shift in Tesla’s product strategy. While CEO Elon Musk has moved the company toward AI-driven initiatives such as robotaxis and humanoid robots, lower-priced vehicles remain necessary to support the company’s revenue in the near term.

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Reports have indicated that Tesla previously abandoned plans for an all-new $25,000 EV, with the company opting to create cheaper versions of existing platforms instead. Analysts have flagged possible cannibalization of higher-margin models, but the move aims to counter an influx of aggressively priced entrants from China and Europe, many of which sell below $30,000. With the new Model 3 Standard, Tesla is reinforcing its volume strategy in Europe’s increasingly competitive EV landscape.

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Tesla FSD (Supervised) stuns Germany’s biggest car magazine

FSD Supervised recognized construction zones, braked early for pedestrians, and yielded politely on narrow streets.

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Credit: Grok Imagine

Tesla’s upcoming FSD Supervised system, set for a European debut pending regulatory approval, is showing notably refined behavior in real-world testing, including construction zones, pedestrian detection, and lane changes, as per a recent demonstration ride in Berlin. 

While the system still required driver oversight, its smooth braking, steering, and decision-making illustrated how far Tesla’s driver-assistance technology has advanced ahead of a potential 2026 rollout.

FSD’s maturity in dense city driving

During the Berlin test ride with Auto Bild, Germany’s largest automotive publication, a Tesla Model 3 running FSD handled complex traffic with minimal intervention, autonomously managing braking, acceleration, steering, and overtaking up to 140 km/h. It recognized construction zones, braked early for pedestrians, and yielded politely on narrow streets. 

Only one manual override was required when the system misread a converted one-way route, an example, Tesla stated, of the continuous learning baked into its vision-based architecture.

Robin Hornig of Auto Bild summed up his experience with FSD Supervised with a glowing review of the system. As per the reporter, FSD Supervised already exceeds humans with its all-around vision. “Tesla FSD Supervised sees more than I do. It doesn’t get distracted and never gets tired. I like to think I’m a good driver, but I can’t match this system’s all-around vision. It’s at its best when both work together: my experience and the Tesla’s constant attention,” the journalist wrote. 

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https://twitter.com/Paddy_film/status/1996245521770364947?s=20

Tesla FSD in Europe

FSD Supervised is still a driver-assistance system rather than autonomous driving. Still, Auto Bild noted that Tesla’s 360-degree camera suite, constant monitoring, and high computing power mark a sizable leap from earlier iterations. Already active in the U.S., China, and several other regions, the system is currently navigating Europe’s approval pipeline. Tesla has applied for an exemption in the Netherlands, aiming to launch the feature through a free software update as early as February 2026.

What Tesla demonstrated in Berlin mirrors capabilities already common in China and the U.S., where rival automakers have rolled out hands-free or city-navigation systems. Europe, however, remains behind due to a stricter certification environment, though Tesla is currently hard at work pushing for FSD Supervised’s approval in several countries in the region.

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