Editorial: PDF OnlyPositional Asphyxiation in Adults A Series of 30 Cases from the Dade and Broward County Florida Medical Examiner Offices from 1982 to 1990Bell, Michael D. M.D.; Rao, Valerie J. M.D.; Wetli, Charles V. M.D., and; Rodriguez, Richard N. B.A.Author Information From the Broward County Medical Examiner's Office (M.D.B., R.N.R.), Fort Lauderdale; and the Department of Pathology (M.D.B, V.J.R., C.V.W., R.N.R.), University of Miami School of Medicine, and the Dade County Medical Examiner Office (V.J.R., C.V.W.). Miami, Florida. Associate Medical Examiner (M.D.B., V.J.R.); Deputy Medical Examiner (C.V.W.); Forensic Investigator (R.N.R.). The American Journal of Forensic Medicine and Pathology: June 1992 - Volume 13 - Issue 2 - p 101-107 Buy Abstract Over a 9-year period, 30 cases of positional (or postural) asphyxia were identified in the Dade and Broward County (Florida) Medical Examiner Offices. The victims had an average age of 50.6 years with no significant sex or racial differences as compared with the general medical examiner population. Chronic alcoholism or acute alcohol intoxication was a significant risk factor in 75% of cases and these had an average postmortem ethanol concentration of 0.24 g%. Signs of mechanical asphyxiation (petechiae and/or combined lung weights > 900 g) were present in 93% of cases. Victims were commonly (43%) found in a restrictive position producing hyperflexion of the head and neck. Two deaths involved restraint vests (“poseys”) in elderly, demented, wheelchair-confined victims. Scene photographs of the undisturbed decedent are extremely helpful in confirming a suspicion of postional asphyxia. © Lippincott-Raven Publishers.