New surveillance video from a Chinatown business shows the seconds a before a driver ran a red light and struck multiple pedestrians walking in a marked crosswalk. An elderly woman died at the scene, and two others were injured. 

The fatal pedestrian accident happened around 3 p.m. Monday afternoon, near the intersection of Beretania Street and Maunakea Street. Police say a 56-year-old woman in a White Toyota SUV was heading westbound on Beretania Street when she ran a red light, hit three people in a crosswalk and then crashed into a BMW.

"There was a woman that was pinned between the two cars. And her legs were like all out," a witness said.

The Honolulu Medical Examiner identified the woman killed in the crash as 69-year-old Liyi Ma. According to Emergency Medical Services, two other pedestrians were injured, including a woman in her 60s that was hospitalized in critical condition and a man in his 60s that was transported in serious condition.

"There was a woman-- an elderly Chinese woman and another Chinese man that was about 5-yards from the woman.. and they were both lying on the street," witness Peter Marcos said.

Marcos says he didn't see what led up to the deadly accident, but he did witness the aftermath.

"I was shocked.. very shocked cause you normally don't see something like that. I've never seen an accident as bad as that one," he added.

The 56-year-year-old female driver of the While Toyota SUV was arrested at the scene on suspicion of negligent homicide, negligent injury and operating a vehicle under the influence of an intoxicant. She was later released pending investigation.

Police say they're are still looking into whether medication may have been a factor in the crash. Meanwhile, Mothers Against Drunk Driving (MADD) says it's a reminder that impaired driving isn't limited to just alcohol.

"Any drug that is impairing should not be consumed if you're planning to drive," Carol McNamee with MADD Hawaii said. "It can be very dangerous."