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The word is he inhaled vomit aka aspirated. Thus drowned on his own throw up.
If EMT was there they would of been able to keep him breathing with tube and so on till they get to the ER to get fluid/food out.
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Except that one witness said that the deceased was feeling sick in the parking lot after the event...so EMS might have been gone anyway. From what little has been posted, it is unclear where he aspirated - for all we know, he could have made it home and vomited in his sleep.
While I won't disagree that EMS should probably have been onhand for such an event; their presence wouldn't necessarily have changed the outcome.