canyonoflight
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Depending on the amount of foam or froth, and how pronounced the color was I think would help us.
I luckily have never witnessed someone dying but I have seen enough movies of people dying of a heart attack and maybe a little drooling and such would be expected. But if the foam and froth was a large amount and if it had a distinct color then I think it could help lean towards some sort of injested substance.
Its hard without knowing the exact details of what the scene looked like upon arrival.
My dad died of the widow maker (heart attack), my mom of stage four cancer, and my grandma from dementia. I was present for all their deaths (not for the heart attack itself but we pulled the plug and I sat with my mom while he flatlined). None of them foamed at the mouth. My dad’s friend who was with him when he had the heart attack and attempted CPR has never mentioned foam and it’s been thirteen years. My mom never mentioned it when her dad died in front of her from congestive heart failure.