Shrapnel from the engine may have punctured the fuselage, causing explosive decompression. He suffered three broken ribs, which punctured his lung. His skull was punctured by a metal object, and his ribs were broken. They board a car whose Tyre gets punctured. It transpired that the left-rear tyre was the wheel that was punctured. This punctured his left-rear tyre. He collides with a stopped car whose tires have been punctured. In the exchange of fire the fuselage was punctured, causing a rapid depressurization. Additionally, the liver may be punctured, resulting in lethal hemorrhaging. At , Fignon punctured a tyre, but he was able to rejoin shortly after. It is more commonly associated to infection from a punctured organ of the abdominal cavity. Pieces of structure punctured the rear gas cells and caused gas leakage. Irwin initially believed he only had a punctured lung. In the course of the derailment, a 90-ton tank car carrying liquified chlorine was punctured. Its thickness allows the animal to run through thorn bushes without being punctured.