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Choke-out

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182:), which then causes loss of consciousness. These explanations, however, do not exclude each other but are 2 components explaining less blood flow to the brain: 1) constriction of carotid arteries leading blood towards the brain directly causing less blood flow to the brain 2) lower systemic blood pressure (thereby also decreasing blood flow to the brain through the vertebral arteries - these being the only alternative blood supply to the brain). 22: 298:'s study entitled "Syncope: A videometric analysis of 56 episodes of transient cerebral hypoxia" observed the effects of cerebral hypoxia on 42 test subjects who completely lost consciousness. Their syncope state lasted 12.1 seconds, plus or minus 4.4 seconds. Muscle jerks occurred in 90% of patients. The most common pattern of movement consisted of multifocal arrhythmic jerks (uncoordinated 202: 224:" and "air chokes". A blood choke disrupts blood circulation to the brain, while an air choke disrupts breathing. Blood chokes can be applied to efficiently cause loss of consciousness, i.e. a choke-out, while air chokes do not usually cause loss of consciousness without prolonged application (though air chokes are used to cause discomfort). 245:
An additional explanation is seen in the introduction and is caused by the baroreceptor reflex. This explains why fainting can also happen with just a very short application of force as this can cause systemic blood pressure to drop dramatically in some people thereby lowering the blood flow to the
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began in 1882, hundreds of thousands of chokes have been applied, and the probability of hundreds if not thousands of choke-outs, with no reported deaths due to chokes, the chances of asystole are slim. It might be true that no direct deaths have been reported as a result of chokes, but there are
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The long-term effects of a controlled choke-out for less than 4 minutes (as most are applied for mere seconds and released when unconsciousness is achieved) are disputed, but the 5 minute mark is largely considered unsafe. There is always risk of short-term memory loss, hemorrhage and harm to the
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of multiple muscle groups) in both proximal and distal muscles. Additional movements also occurred such as: righting movements (if the patient had slumped one way while falling asleep they woke up and immediately corrected, if not overcorrected), oral automatisms, and head turns. In most of the
278:). However, there are several studies that showed choking out will result in a few seconds of flat line ECG for a few seconds at least in half of the subjects. This might suggest that choking out or syncope is not as safe as it was assumed to be previously. 177:
and a lowered heart rate. This causes a dramatic decrease in blood flow especially to regions above the heart (e.g. the brain) due the need of a high pressure to flow against gravity which in turn results in less blood flow to the brain
193:, wherein a person loses consciousness intentionally in order to experience a particular sensation. A choke-out should also not be confused with medical conditions that cause fainting without the application of a chokehold. 270:. This signal tells the heart to reduce volume of blood per heartbeat, typically up to one-third, in order to further relieve high pressure. There is a slight chance of the rate dropping to zero, or 364:
Mitchell, Jamie R.; Roach, Dan E.; Tyberg, John V.; Belenkie, Israel; Sheldon, Robert S. (2012). "Mechanism of loss of consciousness during vascular neck restraint".
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numerous reports of these chokes turning out to be strokes, leaving the subject with permanent brain damage or possibly more elaborate, long-term effects
394: 134:, or temporary loss of consciousness, at which point the choke is released. Common chokeholds in grappling used to accomplish a choke-out include the 498: 235:, ideally with little to no pressure applied to the airway. However, it is very rare and difficult to accomplish by compressing only one side. 173:, this inhibits sympathetic vasomotor and cardiac stimulation and increases parasympathetic stimulation of the heart causing 541:
Lempert, T.; Bauer, M.; Schmidt, D. (1994). "Syncope: A videometric analysis of 56 episodes of transient cerebral hypoxia".
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Blood chokes constrain or disrupt blood circulation to the brain. This is accomplished by compressing one or both of the
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patients their eyes remained open. Sixty percent of the patients reported having visual and auditory hallucinations.
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Some argue that when pressure is applied to the carotid artery, the baroreceptors send a signal to the brain via the
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retina, concussions from falling when unconscious, stroke, seizures, permanent brain damage, coma, and even death.
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through constriction of the carotid arteries. An additional mechanism involves compression of the
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Urkin, Jacob; Merrick, Joav (2006). "The choking game or suffocation roulette in adolescence".
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Unconsciousness results mainly from the direct constraint of blood flow to the brain, causing
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The mechanism can be explained as resulting from directly constraining blood flow to the
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brain even after release of the constrictive force on the carotid arteries.
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Davos, Constantinos; Davies, Lewis Ceri; Piepoli, Massimo (2002).
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Some argue that with thousands of tournaments since the sport of
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International Journal of Adolescent Medicine and Health
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Neumann-Potash, L. (Fall 2006). "The choking game".
540: 347:"The Arterial Supply to the Central Nervous System" 46:. Unsourced material may be challenged and removed. 481: 640: 525:"The Medical Realities Of Breath Control Play" 458: 536: 534: 220:can be divided into two primary categories: " 606: 531: 392: 106:Learn how and when to remove this message 600: 200: 569: 522: 185:Choke-outs should not be confused with 641: 575: 516: 435: 415: 44:adding citations to reliable sources 15: 324: 165:, confusing the body into thinking 13: 14: 665: 504:from the original on 16 June 2021 296:American Neurological Association 416:Cash, Ralph E. (November 2007). 20: 378:10.1152/japplphysiol.00592.2011 31:needs additional citations for 475: 452: 409: 357: 339: 126:tactic involving the use of a 1: 366:Journal of Applied Physiology 306: 209:, (large, red tube), and the 582:Journal of Forensic Sciences 213:running parallel on its left 196: 7: 621:10.1515/IJAMH.2006.18.2.207 393:Ben Thapa (April 6, 2012). 10: 670: 289: 249: 576:Koiwai, E. Karl (1987). 443:MedlinePlus Encyclopedia 461:California Pediatrician 654:Martial art techniques 260:glossopharyngeal nerve 214: 169:has risen. Due to the 555:10.1002/ana.410360217 523:Wiseman, Jay (1997). 204: 425:Principal Leadership 325:Gropper, Michael A. 40:improve this article 543:Annals of Neurology 187:erotic asphyxiation 124:hand-to-hand combat 491:Hellenic J Cardiol 418:"A Dangerous High" 215: 116: 115: 108: 90: 661: 633: 632: 604: 598: 597: 573: 567: 566: 538: 529: 528: 520: 514: 513: 511: 509: 503: 488: 479: 473: 472: 456: 450: 448:Cerebral hypoxia 439: 433: 432: 422: 413: 407: 404: 389: 361: 355: 354: 351:Teach me Anatomy 343: 337: 336: 322: 240:cerebral hypoxia 229:carotid arteries 163:carotid arteries 136:rear naked choke 111: 104: 100: 97: 91: 89: 48: 24: 16: 669: 668: 664: 663: 662: 660: 659: 658: 639: 638: 637: 636: 605: 601: 574: 570: 539: 532: 521: 517: 507: 505: 501: 486: 480: 476: 457: 453: 440: 436: 420: 414: 410: 362: 358: 345: 344: 340: 323: 314: 309: 292: 252: 205:The vulnerable 199: 112: 101: 95: 92: 49: 47: 37: 25: 12: 11: 5: 667: 657: 656: 651: 635: 634: 599: 568: 530: 515: 474: 451: 434: 408: 406: 405: 372:(3): 396โ€“402. 356: 338: 332:Science Direct 311: 310: 308: 305: 291: 288: 251: 248: 207:carotid artery 198: 195: 180:brain ischemia 167:blood pressure 144:triangle choke 114: 113: 28: 26: 19: 9: 6: 4: 3: 2: 666: 655: 652: 650: 647: 646: 644: 630: 626: 622: 618: 614: 610: 603: 595: 591: 588:(2): 419โ€“32. 587: 583: 579: 572: 564: 560: 556: 552: 548: 544: 537: 535: 526: 519: 500: 496: 492: 485: 478: 470: 466: 462: 455: 449: 445: 444: 438: 430: 426: 419: 412: 402: 401: 396: 391: 390: 387: 383: 379: 375: 371: 367: 360: 352: 348: 342: 334: 333: 328: 321: 319: 317: 312: 304: 301: 297: 287: 284: 279: 277: 273: 269: 265: 261: 256: 247: 243: 241: 236: 234: 233:jugular veins 230: 225: 223: 219: 212: 208: 203: 194: 192: 191:fainting game 188: 183: 181: 176: 172: 168: 164: 160: 159:baroreceptors 156: 151: 149: 145: 141: 137: 133: 129: 125: 121: 110: 107: 99: 96:November 2012 88: 85: 81: 78: 74: 71: 67: 64: 60: 57: โ€“  56: 52: 51:Find sources: 45: 41: 35: 34: 29:This article 27: 23: 18: 17: 615:(2): 207โ€“8. 612: 608: 602: 585: 581: 571: 549:(2): 233โ€“7. 546: 542: 518: 506:. Retrieved 494: 490: 477: 460: 454: 441: 437: 428: 424: 411: 398: 369: 365: 359: 350: 341: 330: 327:"Baroreflex" 293: 280: 257: 253: 244: 237: 226: 222:blood chokes 216: 184: 175:vasodilation 152: 140:arm triangle 119: 117: 102: 93: 83: 76: 69: 62: 50: 38:Please help 33:verification 30: 497:: 143โ€“155. 268:vagus nerve 231:and/or the 211:vagus nerve 55:"Choke-out" 649:Chokeholds 643:Categories 431:(3): 10โ€“3. 307:References 218:Chokeholds 171:baroreflex 148:guillotine 146:, and the 66:newspapers 469:0882-3421 400:SB Nation 197:Mechanics 130:to cause 128:chokehold 120:choke-out 629:16894858 508:23 March 499:Archived 386:22096121 276:asystole 272:flatline 266:via the 262:and the 594:3572335 563:8053660 290:Effects 250:Dangers 189:or the 161:of the 132:syncope 80:scholar 627:  592:  561:  467:  463:: 22. 384:  300:spasms 82:  75:  68:  61:  53:  502:(PDF) 487:(PDF) 421:(PDF) 264:heart 155:brain 122:is a 87:JSTOR 73:books 625:PMID 590:PMID 559:PMID 510:2022 465:ISSN 382:PMID 294:The 283:Judo 59:news 617:doi 551:doi 374:doi 370:112 42:by 645:: 623:. 613:18 611:. 586:32 584:. 580:. 557:. 547:36 545:. 533:^ 495:43 493:. 489:. 446:: 427:. 423:. 397:. 380:. 368:. 349:. 329:. 315:^ 242:. 150:. 142:, 138:, 118:A 631:. 619:: 596:. 565:. 553:: 527:. 512:. 471:. 429:8 403:. 388:. 376:: 353:. 335:. 274:( 178:( 109:) 103:( 98:) 94:( 84:ยท 77:ยท 70:ยท 63:ยท 36:.

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"Choke-out"
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hand-to-hand combat
chokehold
syncope
rear naked choke
arm triangle
triangle choke
guillotine
brain
baroreceptors
carotid arteries
blood pressure
baroreflex
vasodilation
brain ischemia
erotic asphyxiation
fainting game

carotid artery
vagus nerve

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