RedactedNarrative: V1 was pulling a 5 person tube with 4 children on the tube. The towable tube has 3 tubes & 1 of the tubes punctured & deflated.  The deflated tube allowed the inflatable to tip over & the 4 children fell off.  The victim complained of shoulder pain and had a bloody nose, yet swam back to the boat with some assistance from one of the other passengers on the tube. All subjects were wearing life jackets.  Victim was taken to the hospital and diagnosed with a broken clavical.