A woman is fighting for her life in hospital on the Gold Coast after being hit by an alleged drunk driver in northern NSW.

Emergency crews were called to Barker Street in Casino around 10.45am on Thursday following reports two women had been hit by a car.

Upon arrival, police and paramedics immediately began CPR on one of the women, aged 73, before the she was airlifted to the Gold Coast University Hospital in a critical condition.

A second woman, aged 74, was also treated at the scene by paramedics before being taken to Lismore Base Hospital in a serious condition.

The driver of the vehicle, a 57-year-old man, was subjected to a roadside breath test which allegedly returned a positive result.

He then underwent a secondary analysis, which returned a reading of 0.155, more than three times the legal alcohol limit.

The man was arrested and taken to Casino Police Station, where he was charged with a string of offences including aggravated dangerous driving occasioning grievous bodily harm, cause bodily harm by misconduct in charge of motor vehicle and drive with high range PCA.

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The man was refused bail to appear before Lismore Local Court today.

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