Witnesses said the swimmer, who was using a tire swing, hit his head in the water.
Firefighters were prepared to bring the patient up the 30-foot cliff from the shore using rope-rescue equipment, including a mobile winch acquired earlier this year but not yet put into use.
Instead, however, the firefighters helped paramedics and others reach the victim.
After on-scene medical treatment, the patient was lifted into the Wallowa County Sheriff's Office patrol boat, taken to the boat dock at Wallowa Lake State Park and transferred to a Wallowa County Health Care District ambulance for a trip to the emergency room.
Firefighters directed traffic around the emergency scene along the Wallowa Lake Highway.
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