While on a routine prisoner transport, Sergeant Daniel Shaffery and Officer Frank Salerno of the Little Silver, New Jersey, Police Department observed a vehicle with a large tree limb piercing its windshield traveling in the opposite direction. The driver was waving his arms frantically in an attempt to get the officers’ attention. Officer Salerno turned the patrol car around and reported the incident to the dispatch center. After the driver’s vehicle came to a stop, Sergeant Shaffery and Officer Salerno approached it and determined that the limb had fallen from above, penetrated the windshield, and impaled the front passenger through the chest and pinned her to the seat. She was unresponsive and bleeding profusely. Officer Salerno began to render first aid, and Sergeant Shaffery returned to the patrol vehicle to update the report and to request emergency response. Sergeant Shaffery then brought a first-aid kit to the vehicle. At this time, Officer Salerno had established an airway for the victim. She began breathing, albeit labored. Officer Salerno continued to hold the victim’s neck steady, thus keeping her airway open and stabilizing her spine and neck, and stayed with her until her safe removal from the vehicle. Sergeant Shaffery maintained scene safety and directed emergency responders as they arrived. Other officers arrived to complete the transport of the prisoner, and Sergeant Shaffery and Officer Salerno took the driver home so he could meet with his daughter and travel with her to the hospital.