Motocross rider Todd Mullinder is alive today because he had emergency surgery on the back of a ute.
The father of three suffered a punctured lung, a crushed chest and head injuries after flipping his motorbike at remote Glinks Gully beach, Kaipara.
Gasping for breath and in agony, Mr Mullinder, 45, from Te Kopuru, could take in limited air only by leaning over a chilly bin.
Without the Westpac Rescue Helicopter crew sent from Auckland, he would almost certainly have died.
"When the doc was trying to treat me on the back of a ute I was in so much pain I tried to give him a kicking," he said. "It took four guys to hold me down while the doctor cut a hole in my side so I could breathe properly. I had to apologise to everyone afterwards."