RedactedNarrative: Victim boarding behind boat. She was wakeboarding. She got caught in the wake and propelled forward at a high rate and slammed into the water very hard. I was advised she may have possibly hit the back of boat. Witnesses say she was face dowrn for a few seconds before coming to.  They said that when they flipped around and picked her up her eyes were bouncing all over and she was not very responsive. They were able to get her into the boat and onto land. I was advised she was complaining of severe head, neck and back pain. She became very unresponsive while on scene. She was then flown to EIRMC.