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water rescue and survival 35 Submersion into cold water can induce cardiac arrhythmias (abnormal heart rates) in healthy people, sometimes causing strong swimmers to drown. International Life Saving Federation. 24 The breathing reflex in the human body is weakly related to the amount of oxygen in the blood but strongly related to the amount of carbon dioxide (see Hypercapnia ). 32 People who drown in fresh water may experience worse hypoxemia early in their treatment, however, this initial difference is short-lived and the management of both fresh water and salt water drowning is essentially the same. Mechanicsburg, PA: Stackpole Books. "Drowning in a Sea of Misinformation: Dry Drowning and Secondary Drowning".