Note no blood from the pic Mike Islander posted?
Luckiest dude ever.
Thats pretty awesome.
Tamponade, its a thing. Even of small vessels.
No idea with the motocross boot.
Seen a lot of FB stuck through boots and high speed and many look similar. Mostly construction and plenty from motorcycles and snowmobiles.
There is a chance it busted his foot, but didnt penetrate it and it is all shoved medially in the boot.
We use a dremel and shop vac for debris to cut those boots off.
Thats why you gotta have redneck ER nurses.

Chicks rarely know how to operate a Dremel.
Dude nurses in joggers (recently learned what these new fashion pants for dudes are called besides “homo britches”) never know.