TOPIC: Critical Care TYPE: Fellow Case Reports INTRODUCTION: Drowning with accidental hypothermia (AH) and cardiac arrest is a challenging clinical situation—severe core body temperature (CBT) < 28 ˚C by itself life-threatening. The overall mortality ranges from 30-80% increases to 100% in submersion victims who are comatose required prolonged CPR. CASE PRESENTATION: A 22-year-old female was se...