Bicycle accident

"Apparently there may have been a line of riders, maybe 6 - 10 riders, two abreast, going approximately 25 mph, and the rider’s bike in front of him kicked up a branch, and you can see the results. The branch did not have a spear point at the end that went through his leg. That is why it broke his bone..."

More details at the link, including (refreshingly) the patient lying on an E.R. gurney, smiling, and waving at the cameraman. The +2 annotation on his foot means his dorsalis pedis pulse is intact and the viability of the foot is not in imminent danger. The discussion thread at the link includes suggestions that perhaps this image is Photoshopped. No way (and no need to); anyone who has worked in ERs or the military has seen this kind of stuff or worse. It is, however, quite impressive...