RedactedNarrative: I arrived on scene at approximately 1708 hours and USCG Aux arrived shortly thereafter. We observed the patient (VICTIM) in the water with a life jacket on, in obvious pain, holding his R. leg. VICTIM's father was also in the water holding him steady on an inflatable mattress for extra flotation. VICTIM was alert, conscious and verbally responsive. He said he had no allergies, was on no medications (later relayed one acne medication to medical units), with no pertinent medical history.
  
  I retrieved a backboard and slipped it under VICTIM and once in place, 2A-37, a USCG Aux personnel and I lifted him onto the patrol boat. VICTIM was in constant pain with an obvious deformity of the upper R. leg, which was still covered by a wet suit but with no blood showing. We covered VICTIM in blankets and PFD coats with (VICTIM's sister), the USCG Aux personnel and I providing some stability for the transport to the marina and waiting ambulance.
  
  VICTIM ended up having a 4" section of his femur that had shattered/fragmented and now has a pin in most of the length of his femur and is struggling to recover, eat and control pain.
  
  It is assumed the victim fell while wakeboarding, causing injury to his femur.