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Emergency services rushed to Moore River in Guilderton, about 90kms north of Perth, after reports swimmers were struggling in the water about 10.10am on Tuesday.
A witness told the West bystanders pulled swimmers from the river and performed CPR until paramedics arrived.
It was reported ambulance crews used a defibrillator, but a 38-year old man could not be revived and died at the scene.
A St John WA spokesman said five crews were sent to the incident and two girls and a man aged in his 40s were taken to Joondalup Health Campus.
A woman aged in her 30s was rushed to Sir Charles Gardiner Hospital in a critical condition.
More to come.
