RedactedNarrative: The vessel was heading from big eagle creek back towards sunset marina.  They were towing 2 tubes at this time.  As they were heading back, (injured) was standing on the bow of the boat urinating.  The occupants told him to stop, because they were getting urine blown in their face.  
  
  As he stopped urinating, he lost balance and fell over the front railing of the boat.  The operator tried going in reverse to keep from hitting him, but was unable to stop in time.  The operator and occupants both claim they were going full speed at the time he fell overboard.
  
    Occupants jumped in and swam him back to the vessel and returned to sunset marina.  They called 911.  Ambulance transported josh to livingston hospital in tennessee.  From there, they stabilized him and took him to erlanger by helicopter.