INTRODUCTION: Although an unintended aircraft landing on water (referred to as ditching) is a rare event, the potential for occupant injury/fatality increases immediately following the event due to adverse conditions. However, to date, few studies have addressed the subject. Herein, ditching events and post-ditching survival were investigated. METHODS: Ditchings (1982–2022) in the United States were identified from the National Transportation Safety Board database. Occupant injury severity,...