Army Ranger Josh Hargis was unconscious, hooked to a breathing tube at a military hospital in Afghanistan after losing both his legs in battle last week.

But when the Purple Heart ceremony began at Hargis’ bedside, it turned out he was not unconscious, as doctors believed. Instead, he struggled with an attending doctor to raise his heavily bandaged hand to salute a commanding officer presenting him with the medal.

“I cannot impart on you the level of emotion that poured through the intensive care unit that day,” the commander wrote to the Ranger’s wife. “Grown men began to weep, and we were speechless at a gesture that speaks volumes about Josh’s courage and character.”

There were about 50 fellow Rangers, doctors and nurses in the hospital room during the ceremony. The commanding officer said the salute was the “most beautiful” any person in the room had ever seen.