RedactedNarrative: SYNOPSIS:
  On July 4, 2016 at approximately 1400 hours dispatch notified me of a boat accident in Padre Canyon. I was first on scene and provided some first aid care to the patient.  The victim sustained a broken tibia when he crashed on a tube being towed by a boat. The patient was flown to Dixie Regional Medical Center in Saint George, Utah.  
  
  INITIAL CALL:
  On July 4, 2016 at approximately 1400 hours dispatch notified me of a boat accident that occurred in Padre Canyon. I responded to the area. While traveling to the scene dispatch notified responding units there was one victim who sustained a broken leg when he crashed on a tube. National Park Service (NPS) Ranger asked dispatch to notify Classic Air Medical. Dispatch informed us the victim had denied air transport, Ranger asked dispatch to keep them on standby. I arrived first on scene at approximately 1420 hours. 
  
  MY ACTIONS:
  I made contact with the victim and his family. I tied my boat parallel to his boat and proceeded to board his vessel. The victim was awake and coherent and was able to tell me his name, date of birth, and where he was currently located. His wife was holding his broken leg in order to stabilize it and limit his pain. 
  
  I asked if VICTIM was prescribed any prescriptions or if he had any allergies. His wife informed me she gave him 15 milligrams of Vallum 30 minutes ago. I asked VICTIM if he wanted air transport to the hospital, he told me he wanted to be transported by boat. I informed VICTIM transport by boat was be slow and with it being July 4th the water would be choppy and not provide a smooth ride. I continued to tell VICTIM it would be over an hour until we got him to land and then it would be a two hour ambulance ride to the nearest hospital that could provide service to his injury. VICTIM then asked to be flown out by medical helicopter, I relayed this information to dispatch.
  
  NPS Ranger arrived on scene and took over medical care on VICTIM, I assisted Ranger. Classic air medical arrived at approximately 1500 hours and took over medical care on VICTIM. I towed the boat to shore so VICTIM could be transported to the helicopter. I assisted in loading VICTIM into the helicopter. After the helicopter left I spoke with the operator of the boat during the accident. 
  
  OPERATOR told me VICTIM was on a tube with three others when the tube hit a wave and thrust the passengers into the water. VICTIM landed awkwardly when he hit the water, his body fell to the one side except his left leg. OPERATOR informed me when VICTIM reached the surface he immediately told the members of the party he thought he broke his leg. VICTIM was loaded into the boat and transported to their house boat in the back of Kane Creek Canyon.
  
  CONCLUSION:
  
  VICTIM sustained a broken leg in a tubing accident in Padre Bay. VICTIM was transported to his houseboat in Padre Canyon and waited for  emergency units to arrive. VICTIM was loaded into a medical helicopter and taken to Saint George, Utah for medical care.
  