The Carotid Choke: To Sleep, Perchance to Die?

Lee Wedlake, Marc Rowe

Abstract


This is an examination of the carotid choke, also known as the “sleeper hold.” We will be concerned with types of sleeper holds, what part of the neck is affected, and how. This is commonly referred to as a “blood choke.” There is differentiation between blood chokes and air chokes (strangulation). This article will cover application, effects, result over short and long terms, and ramifications of drug usage and mental state. We will not include the effects of a choke on the trachea, or pressure or strikes to the back of the neck. This article is presented from two perspectives; that of a martial arts practitioner/instructor and that of a physician.


Keywords


Choques; martial arts

References


ALPERS, B., BERRY, R. & PADDISON, R. (1959). Anatomical studies in the circle of willis in normal brains. Arch Neural Psychiatry, (81): 409-418.

ARCHANCE, B. (1999). An unusual case of transient ischemic attacks. Postgraduate Medical Journal, (75): 755-757.

ARTHUR, W. & KAYE, G. (2000 Dec.). The Pathophysiology of common cause of syncope. Postgraduate Medical Journal, 76: 750-753.

BECKER, J. & WERA, C. (2006 September). Stroke, ischemic. Consultado el 26 de Noviembre de 2006, en http://www.e/medicine.com/emerg/topic558.htm.

BERGER, T. & PORTER, C. (1993). Carotid sinus syndrome and wrestling. Mayo Clinic Proceedings, 68(4): 366-369.

DEEPAK, S., JENKINS, N. & DAVIDSON, N. & BENNETT, D. & MUSHAHWAR, S. (2005). Ventricular fibrillation induced by carotid sinus massage without preceding bradycardia. Europace 7: 638-640.

DENK, W., HELMER, M. & MISSLIWETZ, J. (1990). Carotid and vertebral artery circulationIn forearm choke holds in doppler sonography. Z. Rechtsmed, 103(5): 369-377.

DEVRAJ, B. & TRUELSON, J. (2006). Management of the neck with carotid artery involvement. Consultado el 9 de Agosto de 2007, en http://www.emedicine.com/ent/ topic508.htm.

DiMaio, D. & Di Maio, V. (2001). Forensic Pathology. Boca Raton, FL: CRC Press.

FAMILY PRACTICE NOTEBOOK.COM. Carotid sinus massage. Consultado el 4 de Noviembre de 2006, en http://www.fpnotebook.com/CV104.htm.

FIRST AID/CPR/AED FOR THE WORKPLACE. (2006). Yardley, PA. American Red Cross, 48.

FUNK, M. & SCHAPPEL, J. (2003). Strangulation injuries. Wisconsin Medical Journal, 102(2): 41-44.

GREENWOOD, R. & DUPLER, D. (1962.). Death following carotid sinus pressure. Journal of the American Medical Association, 181: 605-612.

GROSSMAN, D. (2004). On combat. 2ª edición, PPCT Research Publications.

HAMILTON, R. (2004 Oct.). Syncope. e-Medicine. Consultado el 1 de Agosto de 2006, en http://www.emedicine.com/ped/topic2188.htm.

HENDERSON, S. & PAZ, D. (2005). Dissection, carotid artery. Consultado el 2 de Agosto de 2006, en http://www.emedicine.com/emerg/topic82.htm.

HERNDON, G. & MCNAMARA, A. (1956). Effect of a carotid sinus stimulation on the electrocardiogram of normal individuals. Circulation, 14 (1104).

KIDWELL, C. & NOWACK, W. (2005). Dissection syndromes. Consultado el 2 de Agosto de 2006, en http://www.emedicine.com/neuro/topic99.htm.

KOCHEN, J. (2007). Fibromuscular dysplasia. Consultado el 4 de Junio de 2007, en http://www. emedicine.com/radio/topic280.htm.

KOIWAI, E. (1987). Deaths alledgedly caused by the use of “choke holds” (shime-waza). Journal of Forensic Sciences, 32 (2): 419-432.

LANG, E. & AFIALO, M. (2006). Dissection, vertebral artery. Consultado el 30 de octubre de 2006, en http://www.emedicine.com/emerg/topic, 832.htm.

LANNUZEL, A., MOULIN, T., AMSALLEM, D., GALMICHE, J. & RUMBACH, L. (1993). Vertebral artery dissection following a judo session: a case study. Service de Nuerologie, 61(7-8): 264-268.

LLOYD, S. (2004). Carotid artery dissection following minimal postural trauma in a firefighter. Occupational Medicine, (54): 430-431.

MAGISTRETTI, P. & PELLERIN, L. (1999). Cellular mechanisms of brain energy metabolism and their relevance to brain imaging. Philosophical Transactions of the Royal Society B. (354): 1155-1163.

MARLER, J. & WOOLSON, R. & ZIVIN, J., ET AL. (1994). Guidelines for the management of patients with acute ischemic stroke; A statement for healthcare professionals from a specialwriting group of the stroke council, American Heart Association. Circulation, 90(3): 588-601.

MCCARRON, M., PATTERSON, J. & DUNCAN, R. (1997). Stroke without dissection from a neck holding manoeuvre in martial arts. Britsh Journal of Sports Medicine, 31(4): 346-347.

MCGREGOR, A. & WHELESS, J. (2005). Response: right sided vagus nerve stimulation. Epiliepsia, 46(7): 1152-1153.

MEARS, S., LUTZ, T. & BEYERS, J. & HINNERICI, M. (2000 July). Acute aphasia and hemiplegia during karate training. The Lancet, (356): 40.

MORAQ, R. & BRENNER, B, (2006). Syncope. Consultado el 30 de Julio de 2006, enhttp:// www.emedicine.com/emerg/topic876.htm.

MUNRO, N., MCINTOSH, S., LAWSON, J., MARLEY, C. & KENNY, R. (1994). Incidence of complications after carotid sinus massage in older patients with syncope. Journal American Geriatric Society, 42(12): 1248-1251.

NORRIS, J., BELETSKY, V. & NADAREISHVILLI, N. (2000). Sudden movement and cervical artery Dissection. Canadian Medical Association Journal, 163(1).

PYERITZ, R. (2000). The Marfan syndrome. Annual Review of Medicine, 51: 481-510.

REAY, D. & EISELE, J. (1982) Death from law enforcement neck holds. American Journal of Forensic Medicine and Pathology, 3( 3): 253-25.

RICHARDSON, D., BEXTON, R., SHAW, F., STEEN, N., BOND, J. & KENNY, R. (2000). Complications of a carotid sinus massage-a prospective series of older patients. Age and Ageing, 29 (5): 413-417.

ROSS, R. (1986). The pathogenesis of advanced types of atherosclerosis: an update. New England Journal of Medicine, 314(8): 488-500.

RYDEVIK, B. & NORDBERG, C. (1980). Changes in nerve function and fiber structure induced by acute, graded compression. Journal of Neurology, Neurosurgery & Psychiatry, 43(12): 1070-1082.

SPITZ, W. (1980). Asphyxia. National Criminal Justice Reference Service. Consultado el 1 de Agosto de 2008, en http:// www.ncjrs. gov/App/Publications/absrtract.aspx? ID=9738. 31.

STARY, H. & CHANDLER, A. & DINSMORE, R. ET AL. (1995). A definition of advanced types of arteriosclerosis: a report from the committee on vascular lesions of thecouncil on arteriosclerosis, American Heart Association. Arteriosclerosis, Thrombosis, and Vascular Biology, 15(9): 1512-1531.

STRATTON, S., ROGERS, C., BRICKETT, K., & GRUZINSKI, G. (2001). Factors associated with sudden death of individuals requiring restraint for excited delirium. American Journal Emergency Medicine, 19(3): 187-191

TONTSCH, D., ALTER, P. & GRIMM, W. (2001). Cardiac arrest following a carotid sinus massage. Journal of Cardiovascular Electrophysiology, 12(11).

WIJETUNGA, M. & SCHATZ, I. (2005). Carotid sinus hypersensitivity. Consultado el 9 de Noviembre de 2006, en http://www.emedicine.com/med/topic229.htm.




DOI: http://dx.doi.org/10.18002/rama.v4i4.151

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Copyright (c) 2012 Lee Wedlake, Marc Rowe

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Revista de Artes Marciales Asiáticas - RAMA

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