Asphyxiation bdsm

Added: Wilson Marino - Date: 22.11.2021 13:07 - Views: 12288 - Clicks: 6635

Reprinted With Permission from Sexuality. This artical contains four separate documents on the controversial subject of erotic asphyxiation. The fourth document is a summary of some safety advice on erotic asphyxiation, drawn from various internet articles on the subject. Asphyxiation bdsm brief bibliography concludes this file. As a person with years of medical education and experience, I know of no way whatsoever that either suffocation or strangulation can be done in asphyxiation bdsm way that does not intrinsically put the recipient at risk of cardiac arrest.

There are also numerous additional risks; more on them later. Furthermore, and my biggest concern, I know of no reliable way to determine when such a cardiac arrest has become imminent. Often the first detectable that an arrest is approaching is the arrest itself. Furthermore, if the recipient does arrest, the probability of resuscitating them, even with optimal CPR, is distinctly small. Thus the recipient is dead and their partner, if any, is in a very perilous legal situation.

The authorities could consider such deaths first-degree murders until proven otherwise, with the burden of such proof being on the defendant. Some breath control fans say that what they do is acceptably safe because they do not take what they do up to the point of unconsciousness. It has numerous underlying causes ranging from simple fainting to cardiac arrest, and which of these will cause the unconsciousness cannot be known in advance.

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I have discussed my concerns regarding breath control with well over a dozen SM-positive physicians, and with numerous other SM-positive health professionals, and all share my concerns. We have discussed how breath control might be done in a way that is not life-threatening, and come up blank.

We have discussed how the risk might be ificantly reduced, and come up blank. We have discussed how it might be determined that an arrest is imminent, and come up blank. Indeed, so far not one repeat, not one single physician, nurse, paramedic, chiropractor, physiologist, or other person with substantial training in how a human body works has been willing to step forth and teach a form of breath control play that they are willing to assert is acceptably safe — i. I believe this fact makes a major statement. Indeed, it seems that the more somebody knows about how a human body works, the asphyxiation bdsm likely they are to caution people about how dangerous breath control is, and about how little can be done to reduce the degree of risk.

A bit about my background may help explain my concerns. I was an ambulance crewman for over eight years. I attended medical school for three years, and passed my four-year boards, then ran out of money. I have an extensive martial arts background that includes a first-degree black belt in Tae Kwon Do. My martial arts training included several months of judo that involved both my choking and being choked. I have been an instructor in first aid, CPR, and various advanced emergency care techniques for over sixteen years.

My students have included physicians, nurses, paramedics, police officers, fire fighters, wilderness emergency personnel, martial artists, and large s of ordinary citizens. During my ambulance days, I responded to at least one call involving the death of a young teenage boy who died from autoerotic strangulation, and to several other calls where this was suspected but could not be confirmed. Additionally, I personally know two members of my local SM community who went to prison after their partners died during breath control play. The primary danger of suffocation play is that it is not a condition that gets worse over time regarding the heart, anyway, it does get worse over time regarding the brain.

Rather, what happens is that the more the play is prolonged, the greater the odds that a cardiac arrest will occur. Sometimes even one minute of suffocation can cause this; sometimes even less. When this will happen to a particular person in a particular session is simply not predictable.

Quick pathophysiology lesson 2: When breathing is restricted, the body cannot eliminate carbon dioxide as it should, and the asphyxiation bdsm of carbon dioxide in the blood increases. Therefore, if breathing is restricted, CO2 asphyxiation bdsm up and the reaction shifts to the right in an attempt to balance things out, ultimately making the blood more acidic and thus decreasing its pH.

This is called respiratory acidosis. This is called respiratory alkalosis, and has its own dangers.

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Again, if breathing is restricted, not only does carbon dioxide have a hard time getting out, but oxygen also has a hard time getting in. A molecule of glucose C6H12O6 breaks down within the cell by a process called glycolysis into two molecules of pyruvate, thus creating a small amount of ATP for the body to use as energy.

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Under normal circumstances, pyruvate quickly combines with oxygen to produce a much larger amount of ATP. As you can see, either a build-up in the blood of carbon dioxide or a decrease in the blood of oxygen will cause the pH of the blood to fall. If both occur at the same time, as they do in cases of suffocation, the pH of the blood will plummet to life-threatening levels within a very few minutes.

The pH of normal human blood is in the 7. A pH falling to 6. Past experience, either with others or with that asphyxiation bdsm person, is not particularly useful. Carefully watching their level of consciousness, skin color, and pulse rate is of only limited value. The problem is that each PVC is potentially lethal, particularly if the heart is low on oxygen. They could stop almost at once, or they could continue for hours. In addition to the primary danger of cardiac arrest, there is good evidence to document that there is a very real risk of cumulative brain damage if the practice is repeated often enough.

There are many documented additional dangers. These include, but are not limited to: rupture of the windpipe, fracture of the larynx, damage to the blood vessels in the neck, dislodging a fatty plaque in a neck artery which then travels to the brain and causes a stroke, damage to the cervical spine, seizures, airway obstruction by the tongue, and aspiration of vomitus.

Additionally, there are documented cases in which the recipient appeared to fully recover but was found dead several hours later. The American Psychiatric Association estimates a death rate of one person per year per million of population — thus about deaths last year in the U.

Law enforcement estimates go as much as four times higher. Most such deaths occur during solo play, however there are many documented cases of deaths that occurred during play with a partner. It should be noted that the presence of a partner does nothing to limit the primary danger, and asphyxiation bdsm little or nothing to limit most of the secondary dangers. Some people teach that choking can be safely done if pressure on the windpipe is avoided.

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Their belief is that pressing on the arteries leading to the brain while avoiding pressure on the windpipe can safely cause unconsciousness. The reality, unfortunately, is asphyxiation bdsm pressing on the carotid arteries, exactly as they recommend, presses on baroreceptors known as the carotid sinus bodies.

These bodies then cause vasodilation in the brain, thus there is not enough blood to perfuse the brain and the recipient loses consciousness. Unfortunately, a message is also sent to the main pacemaker of the heart, via the vagus nerve, to decrease the rate and force of the heartbeat. Most of the time, under strong vagal influence, the rate and force asphyxiation bdsm the heartbeat decreases by one third. There is no way to tell whether or not this will happen in any particular instance, or how quickly. There are many documented cases of as little as five seconds of choking causing a vagal-outlfow-induced cardiac arrest.

For the reason cited above, many police departments have now either entirely banned the use of choke holds or have reclassified them as a form of deadly force. Finally, as a CPR instructor myself, I want to caution that knowing CPR does little to make the risk of death from breath control play ificantly smaller.

I have no problem with informed, freely consenting people taking any degree of risk they wish. I have noticed that, when people are educated regarding the severity and unpredictability of the risks, fewer and fewer choose to play in this area, and those who do continue tend to play less often. I also notice that, because of its severe and unpredictable risks, more and more SM party-givers are banning any form of breath control play at their events.

People with questions or comments can contact me at jaybob crl. BoxBerkeley, CA An elderly, naked man, hands and genitals tied up, hanged. Autoerotic fatalities entered medical literature, when the german doctor Bernt took a special interest in this case in his paper on suicides But he reached the wrong conclusion and mistook it for a suicide with an insane twist. It took another century before attention was paid to the sexual aspects of such death scenarios. Again, it was a german forensic, Ziemke, who in finally identified and consistently described these cases as accidental deaths caused by strangulation as a means to sexual arousal.

The upright hangman. In the times of public executions it was common knowledge that hangings occasionally provoked erection and ejaculation. This reflex is probably caused by the snapping of the spine, but it could easily be misinterpreted as a of sexual pleasure. An engraving by Duumlrer shows a torture chamber filled asphyxiation bdsm skeletons in chains, a hanged man ejaculating, and another being whipped.

There are a of references in 18th century literature. Oh, these feelings are undescribable! They exceed everything! It happend to Franz Kotzwara, composer and one of the greatest double-bass players in Europe, but an even greater libertine of the sado-masochistic variety.

Asphyxiation bdsm

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Does intentional asphyxiation by strangulation have addictive properties?