Details about a fatal car accident in Pawling over the weekend have been released.  The Dutchess County Sheriff’s Office says a preliminary investigation has revealed that 64-year old Paul Pitt of Ulster Park was headed east on Route 55 near Route 22 when he cross the center line and hit another car head on Saturday afternoon.  Pitt was later pronounced dead at the hospital.  Police believe a medical issue was the primary factor in the crash.  The other driver, a 49-year old Pawling woman, was airlifted to Westchester Medical Center with serious injuries. Both needed to be extricated and were the only occupants of their vehicles.  The investigation is continuing.