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Annual Diving Report - Divers Alert Network

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APPENDIX B. DIVE FATALITY CASE REPORTS<br />

approximately 100 ft (30 m) behind the boat. The decedent indicated that he was out of air and<br />

could not inflate his buoyancy compensator. He struggled on the surface and lost consciousness<br />

before making it back to the boat. The autopsy report was not made available but the death was<br />

determined to be a drowning due to a cardiac event. The decedent had a history of hypertension<br />

and elevated cholesterol levels. With the seemingly controlled ascent, an air embolism is less<br />

likely though still a possibility.<br />

04-49 Newly certified diver with heart disease, planned dive to wreck but didn’t reach<br />

depth, witnessed to swim away from group, found unconscious on surface<br />

Cause of Death: Drowning due to Cardiac Dysrhythmia<br />

This 51-year-old male had recently received his initial open-water certification and had only made<br />

6 lifetime dives. He was making a shore entry dive down to a wreck with a group of divers. The<br />

water in the area was 50 fsw (15 msw) but the decedent only made it down to 13 fsw (4 msw) for<br />

a bottom time of 4 minutes. The decedent was witnessed swimming away from the group and<br />

then was brought to the beach by two surfers who found him unconscious on the surface. There<br />

was no evidence of pulmonary barotrauma at autopsy but there was significant coronary artery<br />

disease and left ventricular hypertrophy. The death was determined to be a drowning due to a<br />

cardiac event. An evaluation of the decedent’s equipment showed that he was wearing 24 ½pounds.<br />

04-50 Diver with unknown experience and heart disease, made shore dive with<br />

inexperienced buddy who ran low on air and surfaced but victim did not, found<br />

unconscious on bottom<br />

Cause of Death: Drowning due to Cardiac Dysrhythmia<br />

This 38-year-old male had an unknown amount of diving experience but had been certified for 3<br />

years. He made a shore entry dive to 50 fsw (15 msw) with a large group and with a somewhat<br />

inexperienced buddy. The buddy became low on air and signaled to the decedent to surface but<br />

only the buddy surfaced. The decedent was found unconscious on the bottom 30 minutes later.<br />

Resuscitation efforts were unsuccessful. The autopsy demonstrated changes associated with<br />

drowning as well as atherosclerosis of a coronary artery that supplies a critical area of the heart.<br />

He also had hypertrophy of the left ventricle of the heart, fat infiltration of the right ventricle of the<br />

heart, and fatty change of the liver.<br />

04-78 Inexperienced, recently certified diver with multiple medical conditions and<br />

medications, buoyancy problems at depth, buddy couldn’t assist to surface, lost<br />

consciousness and found on bottom<br />

Cause of Death: Drowning due to Cardiac Dysrhythmia<br />

This 56-year-old male had multiple medical problems including insulin-dependent diabetes<br />

mellitus, severe coronary artery disease. One and a half years earlier he required stents to be<br />

placed in his coronary arteries. The diver was on numerous medications, including an<br />

anticoagulant. Both he and his wife had received their initial open-water certification one month<br />

earlier and completed five lifetime dives (a number reported in the same newspaper article that<br />

called them experienced divers). The diver and his buddy made a shore entry dive in a lake and<br />

he had buoyancy problems while at depth. His buddy attempted to render assistance but could<br />

not physically get him the surface. The diver lost consciousness at depth and his body was<br />

brought up 30 minutes later. An autopsy was performed but the report was not made available.<br />

The death certificate lists cardiovascular disease as the cause of death, but it was signed by a<br />

Justice of the Peace rather than a physician. The accounts of rescue personnel who describe<br />

fluid in the airway and the circumstances make drowning due to a cardiac event a much more<br />

likely scenario.<br />

<strong>Annual</strong> <strong>Diving</strong> <strong>Report</strong>: 2006 Edition 77

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