The first part of this post is for my prehospital colleagues. We’ve probably all seen one of these at least once. Someone decides that want to take the short cut. Over a wrought iron fence. Alcohol is usually involved. They get to the top, but just before they can get over, they slip. The top of the fence impales their thigh!

This example comes from a TV news site in Los Angeles.

Let’s say you are one of the first responders at the scene. What do you do? Pull him off or leave him impaled? What equipment do you need? How do you avoid further harm? How do you fit him into your rig? How do you even secure it? Tweet you answers or leave comments below.

I’ll share some of my ideas on Monday, as well as the xray. Then we’ll talk about the in-hospital management piece.