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A patient in their 30s was received in transfer after a motor vehicle collision in which they hit an oncoming car and were ejected from the vehicle. Emergency Medical Services (EMS) reported the patient was found suspended on a fence post entering at the right thigh and exiting the sacrum. A left lower extremity deformity was also noted. The patient and pole were separated from the rest of the fence and brought to a local Emergency Department (ED) where initially a Glasgow Coma Scale (GCS) score of 14 was noted. The patient subsequently became hemodynamically unstable, and massive transfusion was employed. The patient was then intubated, given broad-spectrum antibiotics and tetanus prophylaxis, and, once stabilized, transferred to our hospital for further care.