Karin Fossum The Drowned Boy

Prologue

If a victim falls into water unexpectedly, he will immediately take one or two deep breaths (respiration surprise) and thus draw water down into the airways, which triggers violent and sustained coughing. When the victim is then wholly immersed in water, he holds his breath and will in most cases float up to the surface again. Whereupon he will gasp for air and once more draw water down into his lungs, thus causing further coughing. The drowning person is then overcome by panic and will scream and thrash with his arms and legs, splashing around on the surface, grabbing hold of anything within reach: a boat, an oar, a friend.

The head is immersed again and more water is drawn down into the lungs in deep breaths. The victim may float back up to the surface once or several times more, but not necessarily three as folklore would lead us to believe. Finally he sinks to the bottom and all is over. This struggle in the water can last for just under a minute or several minutes, depending on the physical health and general stamina of the victim. But eventually he will sink to the bottom, exhausted, open his mouth, and draw the water down into his lungs. He will lose consciousness, go into spasms, and start retching; he will turn blue and become limp. And finally, following this fierce fight for life, he will fall into a coma and die.

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