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Date Posted: 01:23:52 11/24/02 Sun
Author: oboemaboe
Subject: Carotid sleeper hold
In reply to: Philistine 's message, "Re: Reasonable Doubt?" on 22:23:20 11/23/02 Sat

I don't have personal experience with this, and don't have the scene in front of me, but:

I assume something approximating the sleeper hold was what Simon did to the guard. In the sleeper hold, you place the crook of your arm against the middle of the side of the person's neck, and the force produced by your forearm and bicep compress the carotid arteries, causing unconsciousness (or transient cerebral ischemia, as Fred would call it). 10-15 seconds of pressure can cause unconsiousness lasting from several seconds to several minutes. It seems if you're in a pinch (no pun intended), you could subsitute a knee for your arm to compress the arteries. A martial arts article I read claims that the hold is easier to perform if the target is lying on the ground.

When you give cpr, don't you have to gauge how much pressure you're applying to the person's chest by leaning on your arms? Is that really so different from gauging the pressure produced by kneeling? I assume Simon knows his own weight. Do you know how minutely the pressure has to be gauged to be effective? I don't.

If done right, there aren't any serious side effects. An article I read (http://www.datenschlag.org/howto/atem/english/DiM89.html) describes deaths resulting from incorrectly applied sleeper holds as "rare" and usually occur in people with preexisting heart conditions.

Didn't the intervention in the hospital show Simon's knowledge and experience to be above average? If I remember correctly, there was a team of several doctors around the patient, and though this was the most top-of-the-line facility the crew could find, all of these top doctors quickly deferred to Simon's expertise as soon as he intervened.

Are there any doctors here who want to chime in?

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