Abstract: At approximately 8:15 p.m. on July 2, 2013, Employee #1, a Camp Counselor, for the Girl Scouts San Diego, and working at Camp Winacka was riding in the back of a rough terrain golf cart. The employee and a coworker were transporting a camper who was not feeling well in the cart. After loading the camper's personal belongings in the cart, the camper sat in the passenger seat, while Employee #1 sat in the back facing seat of the cart. The coworker put the cart in reverse, and engaged the accelerator, causing the cart to accelerate suddenly, which ejected the employee out of the cart. The cart came to a stop against an oak tree, pinning Employee #1's foot between the cart's bumper and the oak tree. Emergency Medical Responders were called and Employee #1 was transported by helicopter to Palomar Medical Center, where she was treated for a compound fracture to her right foot. Employee #1 was later released.