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They have laryngeal spasms. Due to the intensity of the cold water, it essentially causes their throat to close up tight, therefore there is no air or water going in, and no air or water going out. That's just the problem... What happens when you get them out? It makes opening an airway nearly impossible until their laryngeal passage opens up, and it doesn't happen instantly, it takes a while.

*** cool fact*** If an infant is choking, and you perform a finger sweep (because you can see whatever it is that is blocking their airway) if your finger, gloved or not, even barely scratches the back of their throat, their laryngeal airway with spasm and close. It's something they have no control over and will kill them. So note! When performing a finger sweep, be extremely careful, and never sweep for something you cannot see the majority of. Ideally, I recommend you not performing finger sweeps period, and simply place them belly down, perform back thrusts to help expel the object.

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Q: Why is that cold-water drowning victims might survive prolonged periods under water?
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