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To understand what happens when the rear naked choke is correctly applied, we need some basic anatomical definitions:. The recipient begins to feel flushed — engorged in the face and brow.

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Further pressure narrows the carotids and reduces the blood flow to the brain. Charlie cited a few studies to explain what happens next. Four tapped out before unconsciousness and four managed to maintain consciousness - but had significantly less carotid compression.

In short, said Dr. The face gets flushed. Charlie noted, there are three ways the RNC could cause lasting injury.

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The first involves the carotid body. In individuals in whom this mechanism is very sensitive, said Dr.

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In emergency medicine, we sometimes see patients who have fainted due to over-sensitive carotid bodies - so-called necktie or shaving syncope. A final piece of food for thought from Dr. Carotid and vertebral artery circulation in forearm choke holds in Doppler sonography.

Mechanism of loss of consciousness during vascular neck restraint. Yamasaki S, Takase I et al. Measurement of force to obstruct the cervical arteries and distribution of tension exerted on a ligature in hanging.

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Photos courtesy of Shutterstock. The Physiology of a Rear Naked Choke, or: Get updates and special offers delivered directly to your inbox. The Perfect Squat for Tall Lifters.


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