In animal experiments, studies on the mechanisms involved in drowning
were carried out using latex and gold tracers of defined size and conc
entration. The tracers were detectable by fluorescence microscopy (lat
ex tracers) and by electron microscopy (gold tracers) in the lungs, ki
dneys and lymph nodes and were analysed further by X-ray microanalysis
using a transmission scanning electron microscope. Tracers with small
diameters were shown to penetrate intercellular gaps of the alveolar
epithelium and the larger tracers were incorporated into the epithelia
l and endothelial cells by active pinocytotic mechanisms thus passing
through the air-blood barrier. The detection and analysis of tracers i
n organs of the systemic circulation originating from the immersion fl
uid can assist in understanding the pathophysiology of drowning and in
some selected cases, in making a more definitive diagnosis.