RedactedNarrative: V1 was traveling up the Missouri river back to Little Sioux when a boat from behind passed them on the left side and then turned in front of them. The victim was sitting in the bow when V1 then hit the wave from the other vessel which threw the victim up in the air. The victim stated that he landed head first with his head out of the boat and his stomach hitting the edge of the boat (gunwale).  The victim then fell overboard into the Missouri River. The victim stated he felt 2 hits & thought he had only hit his head, then realized he had been cut on the lover leg, thigh & hip.  None of the individuals were wearing life jackets.  All individuals had been drinking yet no BAC level was established.  The victim sustained 2 severe cuts to his lower leg, 5 severe cuts to his upper right thigh & hip,& a broken lower leg.