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Table 6 Studies on cases of death from hazardous conditions in swimming

From: Hypothesized mechanisms of death in swimming: a systematic review

Author

Year

Type of study

LOE

Findings

Critical evaluation/comments

Knechtle

2020

Case Series

(n = 2)

4

The likely cause of death from cold water swimming is an initial neurogenic cold shock response, or hypothermia

Cold water swimming is practiced by a very small number of extreme athletes, and poses significant health risks to inexperienced and untrained swimmers

Atilgan

2020

Case Report

(n = 1)

4

The girl drowned after her feet were vacuumed into a drainage hole in a swimming pool

The cause of death was drowning due to a faulty drainage system in the swimming pool

Focardi

2019

Case Report

(n = 1)

4

The boy died due to drowning, who was trapped at the abdomen by an uncovered suction drainage hole

Sinton

2016

Case Series

(n = 5)

4

At autopsy, several distinct patterns of injury were observed, including a complete traumatic rupture of the body

It is difficult to determine from an autopsy whether the crocodile attack occurred before or after death

Škavić

2015

Case Series

(n = 1)

4

A 66-year-old woman was found dead of drunkenness (acute alcohol poisoning) while swimming, accompanied by systemic atherosclerosis, left ventricular hypertrophy, liver diseases and trauma

The number of cases was too small and limited information was available at autopsy

Durakovic

2012

Case Series

(n = 1)

4

The teenager died while swimming in a state of level 2 to 3 intoxication. Autopsy revealed a 450 g enlarged heart, pulmonary edema, and bilateral pleural effusion

It is not easy to define exactly what is an exertion-related death

Harding

2006

Case Report

(n = 1)

4

Crocodile attacks result in numerous skin lacerations, punctures and ecchymosis, accompanied by pulmonary congestion and edema, resulting in death

Although the death was attributed to drowning based on pulmonary edema, multiple sharp force injuries were listed as contributing factors

CDC

1996

Case Series

(n = 1)

4

Contact with electricity can result in death through temporary paralysis and drowning of persons who are swimming or diving

No state or national surveillance systems exist for related deaths. And electricity-related drownings are difficult to identify

Goodson

1993

Case Report

(n = 1)

4

The boy died from drowning after being paralyzed by electrical current from a defective pool-light

No evidence of electrical trauma was found on the body