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There was an incident in Sandy Hook Bay a few months back - man overboard w/o a PFD. He was about 300# and in the water for about 15 minutes; fishing alone and he fell out of his boat. Hypothermia and exhaustion were setting in. A passing boater picked him up; it took 2 men in good shape about 10 minutes to get him in the boat. Not that a boarding ladder would have helped, but it would have got him back in his own boat.
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