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. The 32-year-old nurse, who works in wound care at a hospital in Billings, Montana, did a self-assessment. 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. So they got back in Ross’ truck and kept driving to the hospital where he works, St. Vincent Regional Hospital.