[Surgicalcric]

Defeatest attitude has nothing to do with it Sir. I have just seen quite a few patients with guard rails run thru them. BTW, I have never used my ability to induce respiratory failure to put them out of their misery, but it has crossed my mind on a few instances.

Back to the scenario at hand...

Call for immediate EVAC.

Remove/cut harness and all other gear. Support patient manually with 3 or 4 other team members holding him up; cut 6" x 5' strips from MC-4, pack around entrance and exit with trauma dressings; pad around post with clothing and left over canopy. Use the strips of canopy to secure the impaled object to both torso and lower extremities to prevent movement during extrication and evac. Cut the post at about knee level and lie patient supine on SKEDCO, stretcher, LSB, etc... and secure. (2) IV's and fluid titrated to mentation. MS for pain.

Evac to bright lights and cold steel.