RedactedNarrative: On March 31st, 2017 around 1325 hours, victim was sailing southwest in the Intracoastal Waterway (ICW) between Sanibel Island and Saint James City.  Victim moved to change seats with another individual on the vessel, then fell overboard.  The vessel was turned around, and the remaining three individuals recovered Victim from the water and started CPR.  Victim was transported by Lee County Sheriff's  Office Marine units to EMS at Saint James City.  
  
  V1 was sailing from Gulf Harbour Marina towards Punta Gorda, southwest in the Intracoastal waterway, between Sanibel Island and Saint James City.  Victim took control of the helm around 1100 hours, and was having a great time, per crew members.  The vessel was sailing around 6-8 knots (~7-9 mph) and leaning towards the starboard (right) side.  After about 20-30 minutes, Victim told Operator he was “really tired” and needed to switch positions with someone.
  
  Operator held the helm while Victim and Subject2 switched locations on the starboard side of the vessel.  Subject2 took the outermost path while Victim hugged the helm during the switch.  When Subject2 was getting positioned behind the helm, victim fell overboard, headfirst between the safety cables on the starboard side.  Crew members said he did not make any noises or attempts to hold the cables when he fell overboard.  Operator, Subject3, and Subject2 remained on the vessel.  
  
  Subject3 yelled, “Man Overboard”.  Operator immediately took control of the helm and started to turn the vessel around.  Operator depowered the sail and started the engine. Subject2 threw Victim (appearing alert) a throwable floatation device and untied the stern ladder.  She then ran below deck to get the boat pole, handing it to Subject3, and returned to the stern ladder.  Victim’s PFD had not inflated and he made a small attempt to hold onto the boat pole before the wind pushed the vessel away from him.  Subject2 noticed Victim starting to deteriorate and yelled to a vessel nearby to call for help.  On the third pass, Victim was floating face down in the water, before his PFD inflated and turned him onto his back. Crew members described Victim as “ashen” in color and “non-communicative”.  Subject3 jumped into the water and swam him to the vessel where Operator and Subject2 recovered him from the water with the davit. Once on the vessel, Operator and Subject2 started CPR until LCSO Marine units arrived on scene.  They transported Victim and Subject2, who continued CPR, to land where EMS was waiting. 
  
  Based on the evidence and information gathered I have concluded the following:
  During the normal course of activity involved in sailing a vessel, Victim suffered a "probable cardiac dysrhythmia due to hypertensive and atherosclerotic cardiovascular disease" which caused him to fall overboard.  The Operator, Subject3, and subject2 took necessary, appropriate, and constant measures to recover Victim from the water.  They followed the ‘reach, throw, row, go’ water rescue method during the recovery process.  All necessary safety equipment was available and used immediately.  
  