RedactedNarrative: On June 21, 2014, at approximately 1554 hours, Lake Mead National Recreation Area Interagency Communications Center (LMICC) received a call from an employee at Temple Bar Marina.  The employee informed LMICC that a customer, contacted them via marine band radio to report he was bringing his daughter into Temple Bar Marina by vessel because she may have broken her leg during a wakeboarding accident.  The patient had been wakeboarinding near Gateway Cove on Lake Mead.  She jumped a wave and the wakeboard came down impacting the water very hard.  The front of the wakeboard dipped into the water causing the patient to be thrust forward face first into the water.  The patient sustained a closed mid shaft fracture to her left femur.  Emergency medical care was provided by National Park Service Rangers and the patient was later transported by helicopter to the hospital.