A man was rescued after spending an hour trapped in his car as it hung over a bridge in South Warwickshire.
The man's car was left dangling precariously 20ft above a river after it crashed off the A429 between Wellesbourne and Barford at 5.45am.
West Midlands Ambulance Service said paramedics found the car had left the road, struck a bridge and was left hanging above the river.
A spokesman said: "Before the patient could be accessed the car was made safe by being securely attached by a tow rope to other vehicles.
"Once the vehicle was secure, ambulance crews treated the man, believed to be in his early 20s, for serious arm injuries and suspected internal injuries."
Fire crews helped to release him and after being treated at the scene he was taken to University Hospital Coventry and Warwickshire for emergency treatment.
The spokesman added: "Considering the position of the vehicle the driver is extremely fortunate the car did not continue over the edge into the river below."