A 30-year-old man suffered critical injuries after falling on to a fence spike while trimming a palm tree on the Intaka Island reserve in Cape Town on Tuesday afternoon.
ER24 spokesperson Ross Campbell said paramedics arrived on the scene at 14:20.
"The man had been brought across from the island on a boat by local security and fellow workers to where our medics could gain access to him. The spike, which had pierced his chest and broken off, had been removed and the patient required advanced life support interventions to try to stabilise him. He was then rushed to a private hospital in the area for further care."
Campbell said the circumstances of the man's fall while trimming the palm tree was unknown to ER24.