Teenage girl run to death in SD boot camp
Excerpted from "Investigative Report Summary - Gina Score"
Argus Leader, August 1999


South Dakota Training School, Plankinton, SD
On Wednesday, 7-21-99, at approximately 1 p.m., Agents from the DCI were assigned
by Attorney General Mark Barnett at the request of Governor William Janklow to
investigate the circumstances surrounding the death of a young female inmate at the State
Training School in Plankinton, SD. Agents were advised that the victim in this case, who
will be referred to as G.S., had been taken to Avera Queen of Peace Hospital in
Mitchell, SD. Special Agent Dennis Marek, Mitchell, SD, has been assigned case agent
status on this investigation, file No 9902706.

Place of Incident
The South Dakota Training School (hereafter referred to as STS), was established at
Plankinton by the territorial legislature of 1886 and received its first student on
November 3 of 1888 as the Dakota Reform School. The 1907 Legislature changed the
name of the institution from the Dakota Reform School to the SD Training School.

Incident
On 7-16-99, G.S. was examined by Merridy J. Fett, R.N., a nurse contracted to
Department of Corrections by Sioux Valley Hospital to provide nursing service, who
completed what has been described as 'a basic work up physical' which included blood
pressure, height, and weight. (G.S. was 5'4', 224 Ibs.)

G.S. participated in physical exercise on the afternoon of 7-19-99 which included
instruction as to the proper form and kinds of calisthenics to be done in the program. On
7-20-99, physical fitness training was restricted to the gymnasium, where G,S.
participated in calisthenics and jogging around the gymnasium.

On 7-21-99 at 5:45 a.m., the female inmates from Cottage B got up to do their physical
training. At approximately 6 a.m. physical training began with the students being directed
to drink water and warm up for physical training by doing a series of stretching exercises
(temperature 68 degrees, humidity 81%.) At approximately 6:30 a.m. to 6:45 a.m., 16
students and 3 staff members began the walk/run (temperature 70 degrees, humidity
67%).

The staff members were: Raelene Layne, Group Leader at Plankinton and in charge of
Cottage B; Tamara Wagaman, Youth Counselor and in training to be a group leader,
Roxanne Frey, Youth Supervisor. Layne was the most senior with 3 years experience.
Wagaman has been employed 2 years, and Frey had only been working for about 3
weeks. Layne was in charge of the activity and Wagaman and Frey had the most
contact with G.S. during the incident. They ran/walked beside her during the entire
exercise. None of the staff had more than elementary training in first aid and none of
them were ever trained or had dealt with heat exhaustion.

The course of exercise for the run/walk has been described as having four corners and is
approximately 2.7 miles.

Shortly after the run/walk started, G.S. fell behind. She was able to keep up with the
group for the first hundred yards, but then dropped out and stated that she couldn't do
this anymore. Wagaman and Frey told her that there is no such thing as 'can't' and were
yelling at her to keep her feet going and to show effort. G.S.'s response was, 'a kind of
sniffling' and saying she couldn't go on.

At the first corner of the course, .6 miles, Layne and the other girls stopped to wait for
G.S. to catch up. Once G.S. arrived at the corner, the group took off again. G.S. did
not take a drink at this corner.

Approximately 50 yards past the first corner, G.S. wanted to stop again. Wagaman told
her to take a small drink and pour some water over her face. G.S. took a drink. At this
point, Frey put her hand on the small of G.S.'s back so she would continue to go
forward. Students S.F., N.C., H.D and S.G said Wagaman and Frey interlocked arms
with G.S. to keep her moving forward.

Layne and the other girls arrived at the second corner, 1.1 miles, and again had to wait
for G.S. to catch up. When G.S. got to the second corner, the group took off again and
G.S. fell behind right away. G.S. asked for a drink, but Wagaman and Frey would not
let her have a drink until she got to the third corner. Students M.S. and J.E. said that
Wagaman and Frey interlocked arms with G.S. between the second and third corner
and paced/pulled her along.

Once they arrived at the third corner, 1.9 miles, G.S. had a drink of water. After
rounding the third corner, the group was heading back in the direction towards the STS.
Student M.S. said Wagaman and Frey interlocked arms with G.S. between the third
and fourth corner, pulling her to go faster.

Between the third and fourth corner, another student started to have problems near the
front of the group. Wagaman went forward to help this student, leaving Frey alone with
G.S. Frey was able to keep G.S. moving until they reached the fourth corner, 2.4 miles.
This is where they all regrouped and headed back towards the cottages.

After the fourth corner, G S fell behind again. Students M.M. and C.L. tried to interlink
their arms with G.S. to try and keep her up with the group. It was at this point that G.S.
laid down/collapsed for the first time, and C.L. was trying to hold her up.

It is unclear how much water G.S. consumed during the exercise period. Her bottle was
covered in a leather case so even when she drank, the staff could not tell how much
water she took. The other students would take water when they had stopped and wait
for G.S. to catch up. When she caught up the group would start the walk/run again so
G.S. did not get to rest or drink water.

While the majority of the students finished the course at approximately 7:35 a.m. to 7:45
a.m. (temperature 70 degrees, humidity 81%), two students appeared to be having
problems. When student N.C. finished the run she laid down on the ground. It was her
first time completing the course. When G.S. got near the finish line (approximately 7:45
a.m.) she laid down/collapsed on the ground too. Frey stated N.C. and G.S. Looked
the 'same' except N.C. was not breathing hard. N.C. also got up and moved around
with 'no problems' G.S. did not get up and was 'acting like she did not want to do this.'

At this point in the incident, Layne, Wagaman, and Frey felt that G.S. did not get up
because of her attitude. It appears that they came to this conclusion based on the
statement of student T.B. T.B. told Wagaman that she was in placement at The Turning
Point in Sioux Falls with G.S. While there T.B. witnessed G.S. pull the same kind of
behavior to get out of work. None of the staffed witnessed any prior behavior from G.S.
to come to this conclusion on their own.

From this point on everything that the three witnessed reinforced their belief that G.S.
was 'faking' her symptoms. Her hyperventilating was believed to be self-induced. She
lost bladder control and staff viewed it as purposeful. Her inability to get up and
continue was viewed as her unwillingness to participate.

At about 7:55 a.m. Layne called nurse Fett to check on G.S. rapid breathing
(temperature 70 degrees, humidity 81%). Fett was not yet at work. At approximately
8:05 Fett arrived at work, was flagged down and checked on G.S. This check consisted
of Nurse Fett taking vital signs and getting staff information, and concluding that G.S.
was hyperventilating. Nurse Fett advised that she spent approximately 20 minutes with
G.S. and then went and got paper bags to assist G.S.'s breathing. Nurse Fett then went
back to her office to call PA Cody.

Upon arriving at her office, she became busy and did not reach Cody until
approximately 9:15 p.m. (temperature 71 degrees, humidity 81%). When she did reach
Cody, they agreed G.S. was hyperventilating. Nurse Fett did not return to G.S. until
approximately 10:05 a.m. when she was again called by staff to reassess this as a
medical problem.

At approximately 9:15 a.m., G.S. got up with the assistance of the other students and
tried to walk the remainder of the course. G.S. was unsteady and after about 100 yards,
G.S. again collapsed in the road. G.S. was panting heavily, lost bladder control and did
not appear to be able to drink water when offered. Layne contacted Ramsey and
Johnson, described G.S.'s behavior and was advised to 'wait out' G.S. (temperature 71
degrees, humidity 81%).

At approximately 10:00 a.m., Layne noticed goose bumps on G.S.'s arms. She again
called Nurse Fett to evaluate G.S.'s medical condition (temperature 73 degrees,
humidity 81%).

At 10 05 a.m. Nurse Fett returned to the location and again checked G.S.'s respiration
and pulse. It should be noted that over two hours passed. G.S.'s respiration and pulse
had risen and G.S. had only moved approximately 100 yards in that period of time.
G.S.'s vitals were getting higher versus getting lower.

Nurse Fett spent approximately 25 minutes with G.S. and then left the scene to call PA
Cody. At about 10:30 a.m. Superintendent Ramsey and Program Director Johnson
arrived at the scene (temperature 75 degrees, humidity 81%). Ramsey attempted to talk
to G.S. Johnson returned to the school to get a backboard to move G.S.

At 10:40 a.m., Physician's Assistant Cody, and Dr. Kleinsasser, staff psychiatrist for
South Dakota Human Services Center, arrived at STS for a scheduled meeting and
tour. Upon approaching this incident, these medical professionals examined G.S. and
ordered that an ambulance be called (10:47 a.m.). The ambulance received a call
requested by staff member Layne, and proceeded to the location, arriving at the scene
at 10:53 a.m. The ambulance attendants administered oxygen, then loaded and
transported G.S. at 11 a.m. to Queen of Peace Hospital in Mitchell (temperature 77
degrees, humidity 54%). Staff member Layne accompanied them on this trip.

According to the estimates by the staff, the run/walk started at 6:30-6:45 a.m. and
ended at 11 a.m. when G.S. was transported by ambulance to Queen of Peace Hospital
in Mitchell. G.S. collapsed at the end of the course at approximately 7:45 and remained
near where she fell for 3 and a quarter hours. During this time, G.S.'s condition
progressively worsened and the symptoms she exhibited were: Rapid shallow breathing
described as 'panting.' Paleness Inability to get up and stay on her feet. When she did
walk, she was described as staggering and 'looking drunk' Progressive loss of her ability
to communicate. Her speech was described as 'mumbling' and 'incoherent' Twitching of
the muscles Loss of bladder control on 2-3 separate occasions Frothing at the mouth
Inability to drink or hold down water Eyes rolling back into the top of her head Lividity
setting into her legs and arms Complete unresponsiveness Dilated pupils

While G.S.'s condition progressively worsened, the staff took the following actions: Staff
called Nurse Fett the first time G.S. went down Staff instructed G.S. to slow down her
breathing Staff held a brown paper bag over G.S.'s mouth to help regulate her breathing
Staff verbally encouraged/harassed G.S. to get up and complete the course. Staff
refused to allow students to form a human shield in an attempt to shade G.S., remarking
that the students should not make things 'easy' or 'comfortable' for G.S. Layne took 12
of the students back to the school to finish stretching out and left G.S. with 3 other
students and Wagaman and Frey. Staff brought toast and water out for the rest of the
students. Staff brought pop out for themselves Staff called nurse a second time when
they noticed goose bumps on G.S.'s arms

According to ambulance records, at 11:14 a.m. G.S. coded en route to the hospital, and
a defibrillator (electronic shock) was administered to the heart. This failed to revive G.S.
so CPR was started. The ambulance arrived at the hospital at 11:22 a.m. CPR and
resuscitation attempts were unsuccessful. At 12:38 p.m. CPR is ended and G.S. was
pronounced dead.

G.S's core body temperature taken rectally at the hospital was 108 degrees, which is
the maximum measurement for the thermometer.

Davison County Coroner George Bittner, 805 West Havens, Mitchell, SD 57301, filed
death certification #140 on August 9, 1999, listing G.S.'s cause of death as
hyperthermia.

An autopsy was conducted by Dr. Brad Randall of LCM, Sioux Falls, SD. The autopsy
report also concludes the cause of death as hyperthermia.

The investigation is continuing.

This case summary has been compiled by agents and employees of Division of Criminal
Investigation, Deputy Attorney General Robert Mayer, Aurora County State's Attorney
John Steele, and Aurora County Sheriff David Fink under the direction of DCI Director
Doug Lake.

As of this date, there have been 29 people interviewed during the course of this
investigation. They are:

1.Clay Ramsey, Superintendent STS
2.Raelene Sterling Layne, Group Loader and in charge of Cottage B, STS
3.Tamara Wagaman, Youth Counselor STA
4.Roxanne Frey, Youth Supervisor STS
5.Merridy Fett RN Sioux Falls Hosp.
6..Jim Cody, PAC
7.Dwight Schamber, EMT
8.Josephine Schamber, EMT
9.Eric Granlund, STS
10.Diana Baca, STS
11.Dale Edwin, SD Bureau of Personnel
12.Don Johnson, Program Manager, STS
13.Jeff Haiar, Asst. Director for the Juvenile Boot Camp for Custer.
14.Bradley Kleinsasser, Staff Psychiatrists for the George S. Mickelson Center for
Neural Sciences, Yankton
15.Len Sanderson, JCA
16.Jennifer Osterlook College Intern
17.Fifteen juvenile females who currently reside at the state training school

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