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I am sorry for your family's loss....
My nephew's mother in law died in an AOW course from a massive heart attack at depth. I don't blame the instructor for that. In the 2008 DAN fatality report, 3 of the 4 training-related deaths were due to cardiac events. I don't see how it can be possible to hit zero unless we can find a way to ensure that students stop having heart attacks.
I think that real medical screenings combined with watermanship testing might go a long way toward reducing medical problems. I was given to understand, by Thomas Noguchi, that to differentiate between a "massive hear attack" and an AGE that blocks the coronary artery requires cracking the chest underwater, something that most coroners don't know and are unprepared to accomplish, so 99% of the time they label it, "massive heart attack."