When I was in college I worked in a shipping/receiving department and saw one guy run over his own foot with a propane powered forklift. I had to get him into a shock position on the ground and elevated as the paramedics came.
The weight burst his toes open at the tips as it rolled over the crest of his foot. His shoe was white at the beginning of day and was completely red when the paramedics showed up.
He was supposed to be wearing steel-toes but he wasn't. And to tell you the truth I think had he been wearing steel-toes when that happened I think it would've actually been worse.
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