The 44-inch (112-centimeter) steel-tipped pole passed through the flesh beneath Cifaldi's left arm, missing any vital organs, and protruded from his back. After conferring with his friends - and considering the high cost of a helicopter rescue - Cifaldi knew who would save him: himself. This photo provided by David Cifaldi shows Cifaldi while he was being treated Monday, July 20, 2026, at St. Vincent Regional Hospital in Billings, Mont. Jessee Ross via APThe 32-year-old nurse, who works in wound care at a hospital in Billings, Montana, did a self-assessment. "Search and rescue coming to help you is free.