An injured building worker had to be hoisted 75ft into the air by a crane to lift him out of a construction site to a waiting ambulance.
The man in his 50s, was winched out of Birmingham's Frankley Waterworks using a specialist stretcher as it was the only way to extract him from the site.
It is believed the man was getting ready to pour concrete for a new water tank when a cherry-picker overturned at about 8.25am on Monday, injuring him and another man in his 40s.
A West Midlands Ambulance Service spokesman said: "One man in his 40s was treated for a bump to his head, but a second had leg and back pain.
"Due to the location, the only way to get him out was to use a crane at the site.
"This patient and one of the hazardous area response team paramedics were then lifted over 75 feet into the air from the location and then transported to the waiting ambulance by the crane on site."
Both casualties were then taken to Birmingham's Queen Elizabeth Hospital.