Cold Water Swimming and Surgery and Clinical
Why Do Some People Die in Seconds While Others Survive an Hour in Cold Water?
The difference lies in two competing reflexes and how quickly the brain cools. Cold water immersion can kill within seconds through cardiac disturbances, or protect the brain for over an hour through hypothermia. This Lancet review explains both extremes.
Cold immersion deaths are the third most common cause of accidental death in adults and second in children worldwide. About 450,000 such deaths occurred in 2000 alone. Yet a 2-year-old girl once survived 66 minutes fully submerged in iced water and made a full recovery. Understanding why some die instantly while others survive requires looking at the body’s competing responses to cold.











