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wet drowningJoe Segen2016-12-19T00:37:45+00:00
Drowning The usual form (see below note) of drowning* or near-drowning in which the victim aspirates water, as may occur during resuscitation. If fatal, water is present in the lungs at post-mortem examination.
*Which is defined as death from suffocation by submersion in water
Mechanism Submersion is linked to voluntary apnoea, until a certain breaking point, after which the victim inspires, and water enters the lungs with accelerating decompensation, gasping, further aspiration, swallowing of water, emesis, aspiration of gastric contents, secondary apnoea, neural and cardiac dysfunction, hypoxia, metabolic acidosis, and death
Note: In 2005, the World Health Organisation defined drowning as “…the process of experiencing respiratory impairment from submersion/immersion in liquid…” without requiring death, a need for medical treatment after removing the cause, nor that fluid enters the lungs, and recommended that drowning outcomes should be classified as:
• Morbidity, and
• No morbidity.
The WHO put the kibosh on the terms wet drowning, dry drowning, active drowning, passive drowning, silent drowning, and secondary drowning, terms which should no longer be used.
The image is that of Die Ertrunkene (The Drowning) by Wassilij Grigorjewitsch Perow, 1867.