RedactedNarrative: On Sunday June 4, 2017, V1 was pulling a tuber near the south boat ramp on Lake Manawa.  The tuber fell off & was face down in the water before she was turned over & assisted into the boat.  It is believed that she ingested a lot of water but she was semiconscious & still breathing. It is also believed that she was fatigued & just let go of the handles on the tube.  She walked to the seat on the boat but it was hard for her to catch her breath so V1 headed to the dock & called 911. The victim was transported to the hospital and diagnosed with shock.  The victim was wearing a life jacket while tubing.