Asphyxiation bdsm

Added: Julisa Lindstrom - Date: 06.12.2021 18:49 - Views: 34932 - Clicks: 5278

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. A 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 a way that does not intrinsically put asphyxiation bdsm 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.

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 asphyxiation bdsm. 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 more 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 asphyxiation bdsm 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 asphyxiation bdsm 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 amount of carbon dioxide in the blood increases.

Therefore, if breathing is restricted, CO2 builds 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. 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.

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 asphyxiation bdsm to life-threatening levels within a very few minutes.

The pH of normal human blood is in the 7. A pH falling to 6.

Asphyxiation bdsm

Past experience, either with others or with that same 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 does 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. Their asphyxiation bdsm is that pressing on the arteries leading to the brain while avoiding pressure on the windpipe can safely cause unconsciousness.

The reality, unfortunately, is that 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 of the heartbeat decreases by one third. There is no way to tell whether or not asphyxiation bdsm will happen in any particular instance, or how quickly. There are many documented cases of as little as five seconds asphyxiation bdsm choking causing a vagal-outlfow-induced cardiac arrest.

Asphyxiation bdsm

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 asphyxiation bdsm 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.

Asphyxiation bdsm

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.

Asphyxiation bdsm

It took another century before attention was paid asphyxiation bdsm 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 with skeletons in chains, a hanged man ejaculating, and another being whipped.

Asphyxiation bdsm

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. September 2,he payed a visit to the prostitute Susannah Hill on Vine Street no. He gave her 2 shillings to buy some ham, beef, porter and brandy, and after their dinner he asked her to cut off his genitals. She declined, but complied with his wishes to be satisfied by strangulation.

Kneeling, he hung himself with a rope tied to the doorknob. Five minutes later he was dead. Susannah Hill was arrested and charged with murder, but was acquitted after testimony proved her innocence. The court records were destroyed to prevent the scandalous case from going public. A secret copy was made, though, to be sold and published at a later time. It never was, but the manuscript is preserved and kept in the Francis Countway Library of Medicine in Boston.

The story did get out, however, and was hinted at in the newspapers. Illustrated with Several Anecdotes. Dowson, London It further s an earlier incident concerning a certain Reverend Manacle, who was working in the Newgate prison. Observering the effects of hanging, though, renewed his hope.

He approached a female prisoner, Mrs. Birdlime, who was sentenced to death for shoplifting. He pretended that he wanted to demonstrate with his own body how painless it was to be hanged. She was persuaded, and assisted him in the act. When he was cut down and regained consciousness with the expected erection, she agreed to have sex with him as a reward for his sacrifice. Manacle repeated this act with other women prisoners, and ended up killing himself in the process. Having introduced the problem of impotency, the pamphlet proceeds with remedies like Dr.

It might be a satirical text, but it is probable the excentric quack Martin Vanbutchell himself wrote the pamphlet. At that time he placed advertisements in the papers asphyxiation bdsm praised hanging and strangulation as a means to sexual satisfaction supposedly in hope of creating a demand for his products.

He sits in front of the fatal doorknob with a glas and a suggestive bottle in his hand that leaves no doubt about the sexual aspects of the act. The whole spectrum of sexuality was thereby turned into a medical issue, being dealt with in terms of disease, diagnostics and classifications, with matching etiologies and normalising treatments in psychiatry sex as insanity and legal medicine sex as crime.

This was the case for masturbation, which was associated with sickness, insanity and death, and even more so for autoerotic satisfaction by strangulation. It was studied in connection with mental disorders in textbooks on sexual pathologies that proliferated toward the end of the century.

The pioneering work was done in Vienna, the breeding ground for psychoanalysis, as well as sexology in the Institute for Sex Research. It was partly due asphyxiation bdsm these and other sexological descriptions that forensics, by and by, was able to identify and explain certain deaths as accidents in the process of sexual self-strangulation.

This can be achieved in a of ways: hanging and strangulation, suffocation with plastic bags and the likeblocking the respiratory organs, compressing the chest, and chemically through the use of narcotics. There is a high frequency of cordophilia the pleasure of being bound and sometimes hung in ropes and chains ; sexual bondage in the form of tight dresses and hoods latex, leatherrain boots, blindfolds and gags; masochism with clips in the nipples, bodypiercings, branding of the genitals and other selftortures; fetishism stimulation by the sight and touch of certain materials and objects like pieces of clothing ; more or less complete transvestism; voyeristic usage of pornography often of sado-masochistic orientation ; and narcissistic mirroring or self-portrayal with cameras or video which has resulted in recordings of fatal accidents.

Typically, one or more of these autoerotic practices are part of the clinical picture presented by sexual asphyxia. Generally the cause asphyxiation bdsm death is asphyxiation due to strangulation, narcotics, and similar accidents involving deficient oxygen supply. Further, it can occur indirectly in connection with other forms of autoerotic stimulation, i.

Schackwitz describes a case inwhere a 37 year old shop assistant was found dead in his bed. He was lying under the covers, gaged with hankerchiefs, the head tightly wrapped in a towel. His legs were tied with towels, the hands tied up behind his back. He was clutching a nail-scissors in his left hand to free himself, but the arteries were cut up by the tight laces around asphyxiation bdsm wrists, and he bled to death. Many asphyxiation bdsm occur during sexual stimulations with electricity, putting the genitals into a bowl of water together with both ends of a live wire, or touching the penis wrapped in tin-foil with one end of a wire, while the other end is held in the hand.

Asphyxiation bdsm

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A peek behind the curtain: The basics of BDSM and breath play