RedactedNarrative: I received notification that a victim had been wake boarding and collapsed and that the patient was in cardiac arrest. I activated my emergency lights and responded. 
  
  The vessel operator/owner, Operator, gave me the registration information for his vessel and filled out a witness statement. He informed me that Victim had been wakeboarding for about 10 minutes and then dropped off like he was finished with his run, nothing abnormal. When he turned the vessel around to pick Victim up he noticed that Victim appeared to be tense and that he was on his back floating but his head was under water. The passengers on the boat jumped in and got him back on the ski boat. Victim had a pulse but was not breathing so they started mouth to mouth as well as performing some abdominal thrusts. 
  
  After approximately 15 minutes of rescue breathing Victim had vomited some but remained unresponsive. At this time another boat was flagged down and someone had dialed 911 and asked for assistance. Operator’s boat would not start so they transferred Victim to the other boat that had stopped to take him out toward the mouth of the canyon while continuing rescue breathing. 
  
  On 6/21/14 Ranger went to Dixie Regional Hospital at my request to check on Victim. After his visit he informed me that Victim was on life support and it was unlikely at that time he would recover. He forwarded me information on other passengers who were on the vessel when Victim had collapsed as well as a contact phone number for Victim's mother. 
  
  On 6/26/14 I contacted Victim's mother via phone and inquired about Victim's condition. She informed me that Victim had passed away on 6/23/14 at the hospital. She then handed the phone to hospital staff to tell me what injuries Victim had sustained. The hospital staff member informed me that the primary cause of death was loss of oxygen to the brain. They stated that Victim had a brain bleed that was likely caused by an earlier fall when wake boarding. This bleed caused pressure on the brain which led to reduced oxygen to the brain and likely caused him to pass out on the final wake board turn. Victim then aspirated some water into his lungs.