RedactedNarrative: Accident Events-
  OPERATOR1 was operating a borrowed personal watercraft with his wife as a passenger.  Both were thrown off of the watercraft on a sharp turn.  Both occupants were wearing appropriate PFD's.  OPERATOR1 was able to get on the watercraft, and it tipped over when his wife tried to board.  OCCUPANT stated that her husband was worn out and out of breath after attempting to re-board.  They flagged over a passing small aluminum fishing boat for help.  The fishing boat was occupied by four people.  The fishing boat helped to stabilize the PWC so both occupants could re-board.  Once onboard the PWC, OPERATOR1 asked to get in the fishing boat.  Once in the fishing boat, witnesses stated that he passed out after 2 minutes in the boat.  OCCUPANT confirmed that her husband was having difficulty catching his breath before he went unconscious.  She reported that after he was in the boat, that he continued to struggle to breath and stated "I am going to die" before becoming unresponsive.  They rushed to the Main boat ramp, and they describe agonal breathing along the way, with sharp breaths every 30 seconds.
  
  Bystander CPR-
  Once on shore, witness called 911 once the fishing boat reached shore, with the help of others she pulled OPERATOR1 to shore and began CPR with other bystanders.  
  
  First Responder CPR & AED-
  Ranger and I responded from the Island boat ramp.  We arrived finding CPR being performed at the waters edge.  There was no pulse, no breathing.  I attempted to provide breaths using a CPR mask but could not see his chest rise; I could not see an obstruction and repositioned his airway, trying additional breaths.  I inserted an oral airway to try and secure an airway.  I asked another person to provide breaths.  I prepared my defibrillator.  We moved the patients feet out of the water by lifting him further up from the waters edge.  We dried off his chest and I applied the pads.  I activated the defibrillator and it advised to stand clear and not touch the patient.  No shock was advised, the AED stated to continue CPR.  I continued CPR and breaths.  
  
  Advanced Medical-
  Dispatch advised the helicopter was 3 minutes out and that I was the ground contact.  I left CPR to others, who continued performing chest compressions.  I cleared a landing zone for AirMed at the top of the boat ramp.  Two ambulances arrived before the helicopter and began providing their treatment.  They removed the AED and applied their own equipment.  Once AirMed landed, they assisted the EMT's.  They continued CPR inside the ambulance, then transported to the hospital.  I transported OCCUPANT to the hospital.  The hospital staff continued CPR, etc.  I helped OCCUPANT find a private room.  I was with the doctor when he told her that they had been attempting CPR for over an hour and had no signs of life.  The doctor allowed her to be with her husband at the termination of their efforts.  
  
  Cause of Death-
  The medical examiner will determine the cause of death, but the initial indications are that it was heart related due to the exertion from trying to get on the PWC.  Once the medical examiners report is complete, it will be attached to this report.
  
  PWC Registration-  
  Ranger gathered information related to the PWC at the camp where they were camping with their church group.  Ranger photographed the machine and was provided with a temporary registration for the brand new watercraft.  It is unclear if the watercraft was rented, or owned by someone in the camp.  Registration indicated it is owned by a subject, to which no contact information is available.  Unknown insurance.  Still attempting to find this information, and will include in a supplemental if discovered.
  
  7/26/18-  Unable to verify any insurance information as of today's date. Submitted request to State Medical Examiner for cause of death.
  