A 30-year-old man suffered critical injuries after falling unto a fence spike while trimming a palm tree on Tuesday afternoon, at the 16-hectare Intaka Island nature reserve at Century City, which boasts 125 species of bird and 170 different species of plant.

ER24 spokesperson Ross Campbell said paramedics arrived on the scene at 2.20pm along with Lima Charlie One.

“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.

She also said “He was then rushed to a private hospital in the area for further care”.

Campbell added that The circumstances that led to the fall are not known yet.

In October 2018, a 29-year-old man was critically injured after falling about six metres from a tree on to a palisade fence at his Valhalla, Pretoria, home while gardening.

The man had to freed from the fence by the Tshwane Fire Department and was thereafter stabilised and transported by ER24 to hospital.