RedactedNarrative: Vessel 1 was cruising at 25 mph, pulling a tube with Victim 1. Operator 1 increased the speed of Vessel 1 to 35 mph due to Victim 1's "thumbs up" gesture. Vessel 1 then crossed a large boat wake causing the tube carrying Victim 1 to go airborne and flip over. Victim 1 was wearing a PFD. Victim 1 fell on their right hand during the incident, which caused their upper arm to "pop" and caused extreme pain. Operator 1 noticed Victim 1 had fallen at which time they picked up Victim 1 and returned to shore at Heron Cove. An officer on scene splinted Victim 1's arm. An ambulance then arrived which transported Victim 1 to a hospital where they received further medical attention.