Police are yet to identify the driver of a four-wheel drive killed in an accident west of Nowra on Monday morning.
Emergency services were called to the crash scene, approximately 10km from the intersection of Braidwood and Albatross roads, around 7.30am.
A four-wheel drive, travelling west and and a truck, towing a dog trailer, travelling east, collided at Yerriyong.
The collision caused extensive damage to both vehicles, with the truck leaving the road and travelling for around 50 metres before rolling. The cabin came to rest on its side and the trailer jackknifing near roadside bush.
The 65-year-old truck driver was trapped in the cabin with Ambulance Rescue paramedics having to cut him free of the wreckage.
He was stabilised at the scene and then airlifted by the NSW Ambulance Toll Rescue Helicopter to St George Hospital, suffering serious lower back, chest and pelvic injuries.
The driver of the car died at the scene and has not yet been identified.
The Crash Investigation Unit are at the scene and a brief will be prepared for the coroner.
Braidwood Road in closed between Albatross Road and Turpentine Road with local diversions are in place. Motorists are advised to avoid the area.