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seawater draws liquid from the plasma into the alveoli and similarly causes damage to surfactant by disrupting the alveolar-capillary membrane. Free access to water: Effective barriers prevent young children from gaining access to the water Ineffective supervision: Drowning can occur anywhere there is water, and even in the presence of lifeguards. G.; Ferrigno, Massimo, eds. A b c d Harle, Lindsey (August 2012). 44 Secondary drowning: Physiological response to foreign matter in the lungs due to drowning causing extrusion of liquid into the lungs (pulmonary edema) which adversely affects breathing 10 44 Silent drowning: Drowning without a noticeable external display of distress. A b c d Vittone, Mario; Pia, Francesco (Fall 2006). 49 Low water temperature can cause ventricular fibrillation, but hypothermia during immersion can also slow the metabolism, allowing a longer hypoxia before severe damage occurs.

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