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In this case, I *plugged* a hole between treadblocks with a plug. I've seen the patches used before, often for slices in the tire (such as when someone runs over a piece of jagged metal that makes an incision). Depending on the extent of the patch job, the tire will lose a degree of integrity. Were this instance a slice in the tire, I would have replaced the tire.
Without knowing all the details of the van and rollover incident, I might suggest that the speed of the van and road conditions may have lead to the blowout, while driver panic resulted in the rollover. Short of a comprehensive, forensic analysis and witnesses, there's really no way to be sure one way or the other, but a blowout doesn't necessarily mean rollover, just as rollovers don't necessarily mean death.
If you've got a nail or screw in an otherwise good tire on the tread, I see no reason to pay Wal-mart $20 to spend two hours waiting for something as simple as this. Thanks for the comment!