32岁护士兼伤口护理专家David Cifaldi在2024年7月20日上午登蒙大拿州最高峰Granite Peak时遭遇意外1。Cifaldi在海拔3900米的山上滑倒，被一根112厘米长、钢制尖端的登山杖刺穿左侧腋下1。所幸登山杖虽穿过软组织，但未伤及重要器官1。
经过自我评估，Cifaldi认为伤情可控，决定与两名经验丰富的登山同伴一起徒步下山1。他做出这一决定的考量包括直升机救援费用昂贵、身边有可靠的伙伴陪同，以及能够与搜救队保持联系1。这支队伍用时6小时以上完成了约16公里、下降约1500米的下山路程，于下午3:30左右到达停车点1。随后Cifaldi自行驾车前往医院接受治疗，医生移除了登山杖并包扎伤口1。Cifaldi本周已重返工作岗位1。
对于这次经历，Cifaldi自评伤情为"仅是皮肉伤"1。同伴Jesse Ross则表示，"唯一让这成为可能的是他的信心"1。蒙大拿州Search and Rescue队长Ty Williams指出，"他不想要我们帮助，所以我们不会违反他的意愿强行帮助他"1。
A 32-year-old nurse demonstrated remarkable composure after a hiking accident left him impaled by a hiking pole on Granite Peak. 1 David Cifaldi slipped and was struck by a steel-tipped hiking pole measuring 112 centimetres long that penetrated his left armpit on July 20, 2024, at 9:44 a.m., but the wound missed vital organs and caused only soft tissue damage. 1 Rather than request helicopter rescue, Cifaldi assessed his injury and decided to hike down the mountain with two experienced companions. 1
Cifaldi and his fellow climbers embarked on a six-hour descent covering approximately 16 kilometres from the 3,900-metre peak. 1 He drove himself to hospital after reaching the car park around 3:30 p.m., where doctors removed the hiking pole and treated the wound. 1 By the end of the week, Cifaldi had returned to work. 1 Search and Rescue team leader Ty Williams stated that respecting Cifaldi's decision was paramount: "He didn't want our help, so we weren't going to force it upon him." 1 Cifaldi's companion Jesse Ross attributed the successful descent to his mindset, saying, "The only way this was possible was because of his confidence." 1 Cifaldi's choice to self-rescue was informed by the high cost of helicopter evacuation, the presence of two skilled mountaineers, and his ability to maintain contact with search and rescue officials. 1
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