We conducted an extensive literature review using the search terms of “drowning” and “hypothermia” to discover the major factors related to differences in survival rate especially associated with hypothermic effects. Studies indicated that some differences in drowning survival could be identified associated with age, sex, length of submersion, reduced core body temperature, and quality of cardiopulmonary respiratory care. The variability of results associated with the large number of studies prevented us from making any recommendations about whether hypothermia can improve survival among either children or adults.