cujenn81
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I was researching all of this earlier (the jugular distention) and came to the same conclusion about asphyxia. I think both positional or traumatic asphyxia could equally be the cause of death here. It would also explain the possible petechiae in the lips and around the eyes, as well as the foaming of the mouth (IMO).it can also be caused by asphyxia per this site https://www.ems1.com/ems-products/medical-equipment/airway-management/articles/asphyxia-by-any-other-name-is-just-as-deadly-gVNxRzrB0na5B2RE/#:~:text=It's%20a%20specific%20sequelae%20of,spike%20in%20venous%20back%2Dpressure.
How does positional asphyxia differ from traumatic asphyxia? Simply, traumatic asphyxia is a cardiovascular phenomenon resulting from a sudden dramatic increase in intrathoracic pressure from severe compression of the chest. Blood is forced back through the venous system causing significant facial edema and jugular venous distention (JVD). It will lead to cyanosis of the upper extremities, head, and neck with petechiae (microvessel rupture) often being present. This type of asphyxia is most commonly seen during motor vehicle collisions (MVCs), industrial accidents, and farming accidents where there is a significant force being applied to the chest and usually very quickly. Think of someone's chest hitting the steering wheel or a tractor landing on a person's chest.
Podcast #202 - The Dangers of Positional Asphyxia from Restraints
I picture a scenario where the child wanted OUT of the bivy when he was having a panic attack, and the counselors forced him to stay in there for whatever reason. I imagine they accomplished this by placing the green tape over the zipper/alarm apparatus. And at some point during the night he asphyxiated while straining and trying to kick his way out of the bivy bag. I think full rigor set in long before they checked on him (it was almost certainly more than 1 hour and 45 minutes between their last check and when they found him deceased, as they claim) and that’s why he was found with his knees up in the air. As to how or why he was naked below the waist, I don’t have an answer for that one and it’s difficult to even consider the various possibilities.
This is all just speculation on my part, of course.