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This is not so unreasonable an association. If a drown person was for what ever reason turned onto their stomach, that position is more likely to allow for the aspiration (draining) of water from the lungs—obviously a requirement for recovery not available to a victim on their back. Further, occurrences of spontaneous recover (where the ‘drowned’ victim although unconscious had not yet suffocated would reinforce an otherwise counter-intuitive action, that of rolling the victim onto their stomach. Manhandling a victim is stimulation. Further still, removing pants would require lifting the hips which would enhance the drainage of the lungs. Likely, in giving attention to the victim’s bottom, the drainage of the lungs went unobserved. Although the real consequences of this procedure (aspirating the victim) were not recognized, the misguided belief ensured a greater chance of resuscitation. Having the victim on their stomach, (again a seemingly counter-intuitive step^) may have increased the manhandling of the body to consequently remove the victim’s clothes—an almost instinctual response. Lastly, given the sensitivity of the anal sphincter and bowel, the smoke—potential quite hot and including an irritant—would provide a final reviving stimulus. In sum, there is a quite plausible chain of logic by which one can arrive at this form of resuscitation.