Cryptic crossword clue
   Crazy fast driver starts to joyride, eventually hospitalising us 4

The most common and most likely answer to this crossword clue is the 4 letter word JEHU

I've seen this crossword clue in Independent
J
E
H
U


Buddy explains!

The straight part
We know that "Crazy fast driver" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case crazy fast driver = jehu.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

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