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Decedents Found in Bathtubs.

Bethany Faust1, Amanda Dye2, James R Gill

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The American Journal of Forensic Medicine and Pathology
|November 4, 2024
PubMed
Summary
This summary is machine-generated.

Investigating bathtub deaths reveals that while face submersion occurs in drowning fatalities, it is also present in other causes like intoxication and natural deaths, necessitating comprehensive investigation for accurate death certification.

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Area of Science:

  • Forensic Pathology
  • Medical Toxicology

Background:

  • Deaths occurring in bathtubs present unique challenges for accurate death certification.
  • Distinguishing drowning from other causes of death in bathtub incidents requires careful analysis of scene and autopsy findings.

Purpose of the Study:

  • To identify criteria that assist in the accurate certification of cause and manner of death for individuals found deceased in bathtubs.
  • To analyze the circumstances surrounding bathtub deaths, including body position, water presence, and face submersion.

Main Methods:

  • Retrospective review of 252 cases of individuals found deceased in a bathtub or shower at home.
  • Extraction of data including cause of death, manner of death, age, clothing status, presence of water, water status, and face submersion.

Main Results:

  • Heart disease (129) was the leading cause of death, followed by intoxication (47) and drowning (28).
  • Face submersion was present in all drowning deaths, but also in 15% of intoxication and 12% of natural deaths.
  • Natural deaths often involved individuals found unclad without face submersion, while suicides were typically found clad without water.

Conclusions:

  • Face submersion alone is not diagnostic of drowning and requires correlation with medical history and autopsy findings.
  • Comprehensive investigations, including scene examination, medical history, and autopsy, are crucial for certifying the cause and manner of bathtub deaths.