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Two fatal cases of immersion pulmonary oedema - using dive accident investigation to assist the forensic pathologist


Smart, DR and Sage, M and Davis, FM, Two fatal cases of immersion pulmonary oedema - using dive accident investigation to assist the forensic pathologist, Diving and Hyperbaric Medicine, 44, (2) pp. 97-100. ISSN 1833-3516 (2014) [Contribution to Refereed Journal]


Immersion pulmonary oedema (IPE) is being increasingly recognized in swimmers, snorkellers and scuba divers presenting with acute symptoms of respiratory distress following immersion, but fatal case reports are uncommon. We report two fatal cases of probable IPE in middle-aged women, one whilst snorkelling and the other associated with a scuba dive. In the snorkeller's case, an episode of exercise-related chest tightness and shortness of breath that occurred 10 months previously was investigated but this proved negative, and she was on no medications. However, at autopsy, moderate left ventricular hypertrophy was noted. The scuba diver had suffered several previous episodes of severe shortness of breath following dives, one being so severe it led to cyanosis and impaired consciousness. At inquest, the pathologist's diagnosis was given as drowning and IPE was not mentioned. Expert input from doctors trained in diving medicine should be compulsory in the investigation of diving deaths, and forensic pathologists should be properly trained in and have guidelines for the conduct of post-immersion and post-diving autopsies.

Item Details

Item Type:Contribution to Refereed Journal
Keywords:Autopsy; Case reports; Coroner's findings; Deaths; Immersion; Pulmonary oedema; Scuba diving; Snorkelling
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Clinical sciences not elsewhere classified
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Smart, DR (Associate Professor David Smart)
ID Code:98366
Year Published:2014
Web of Science® Times Cited:14
Deposited By:Medicine
Deposited On:2015-02-12
Last Modified:2015-02-20

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