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Not necessarily. See my Vomit thread on Dive Physics/Medicine, etc.When people vomit they will have an involuntary inhale so if your regulator is not in your mouth you could drown
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Inhaling water isn't much good for your lungs.
Of course I, like all, agree with telling people to keep the reg in. Especially if you're not all that comfortable in water, a new diver, or have airway skills problems.