(Received 6 November 1998; accepted 19 March 1999)
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It has been reported that 10–15% of drowning victims do not aspirate water. We have revisited the original studies quoted to reach this conclusion and find it is without foundation. Sudden cardiac standstill is known to occur on land and, therefore, may also occur when the victim is in water. In the absence of the common finding of significant pulmonary edema in the victim's respiratory system, to conclude his or her death was caused by “drowning without aspiration” is unwise. All causes of sudden death that might occur in which respiration may not take place should receive serious consideration when examining bodies with such findings that are found in water.
Professor of Pathology, Emeritus, University of Miami, Director (retired), Medical Examiner Department, Metropolitan Dade County, Florida
Professor of Anesthesiology; Associate Vice President for Health Affairs, University of Florida, Health Science Center, Gainesville, Florida
Assistant Professor of Anesthesiology and Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland
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