David Cifaldi, a wound nurse, was hiking Granite Peak, Montana's tallest mountain, last week when he slipped and fell on one of his trekking poles, impaling himself in the abdomen.

Drawing on his medical training, Cifaldi immediately went into survival mode. He assessed the wound, stabilized the embedded pole to prevent further tissue damage, controlled bleeding with direct pressure, and determined that self-evacuation was his best option given the remote location.

Despite the severe injury and pain, Cifaldi trekked approximately 10 miles over rugged terrain to reach a trailhead and safety. His knowledge of wound care proved critical during the arduous descent, allowing him to manage the injury and prevent shock.

Search and rescue teams were not deployed as Cifaldi self-rescued. Authorities credit his quick thinking and professional expertise for his survival. The incident underscores the value of wilderness first aid training for backcountry travelers.