Abstract
The neck hold is a restraint technique in which a person is restrained by use of a hold that employs manipulation of the neck. Neck holds have been used extensively by law enforcement personnel for physically restraining and gaining control of violent subjects. Choke holds and carotid sleeper holds are types of neck holds that have been employed by law enforcement. Neck holds utilize the mechanism of temporarily disrupting the blood flow to the brain and rendering the subject unconscious. Additionally, neck holds have been used for decades in the sport of judo with tremendous safety. Occasionally, deaths have occurred during or just after the application of a neck hold and the etiology of the death is often attributed to the actual maneuver itself. In these cases, careful examination must be given to the type of hold, the application, surrounding circumstances, and the associated physical findings.
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References
Tezuka M. Physiological studies of the Ochi (unconsciousness) resulting from shime-waza (strangle-hold) in judo. Bull Assoc Sci Stud Judo, Kodokan 1978;Report V:71–73.
Owens RG, Ghadaili EJ. Judo as a possible cause of anoxic brain damage. J Sports Med Phys Fitness 1991;31:627–628.
Koiwai EK. Deaths allegedly caused by the use of “choke holds” (shime-waza). J Forens Sci 1987;32:419–432
Koiwai EK. Fatalities associate with judo. Physic and Sports Med 1981;9:61–66.
Barquin RC. Handbook of the International Judo Federation. 1979;29–39.
Iserson K. Strangulation: a review of ligature, manual and postural compression injuries. Annotated Emerg Med 1984;13:179–185.
Line WS Jr, Stanlery RB Jr, Choi JH. Strangulation: a full spectrum of blunt neck trauma. Ann Otol Rhino Laryningo 1985;94:542–546.
Reay DT, Eisele JW. Death from law enforcement neck holds. Am J Forens Med Path 1982;3:253–258.
Kornblum RN. Medical analysis of police choke holds and general neck trauma (part 2) Trauma 1986;28:13–64.
Reay DT, Mathers RL. Physiological effects resulting from use of neck holds. FBI Law Enforcement Bull 1983:52:12–15.
Lyons v. Los Angeles, 656 F.2d 417(1981).
Kornblum RN. Medical analysis of police choke holds and general neck trauma (part 1) Trauma 1986;27:7–60.
Reay DT. Death in custody. Clin Lab Med 1998;18:1–22.
Munro NC, McIntosh S, Lawson J, et al. Incidence and complications after carotid sinus massage in older pastients with syncope. J Am Geriatric Soc 1994;42:1248–1251.
Richardson DA, Bexton R, Shaw FE, et al. Complications of carotid sinus massagea prospective series of older patients. Age Ageing 2000;29:413–417.
Cohen FL, Fruehan CT, King RB. Carotid sinus syndrome. J Neuroeurg 1976;45:78–84.
Arnold RW, Dyer JA, Gould AB, et al. Sensitivity to vasovagal maneuvers in normal children and adults. Mayo Clin Proc 1991;66:797–804.
Arnold RW. The human heart rate response profiles to five vagal maneuvers. Yale J Biol Med 1999;72:237–244.
Berk WA, Shea MJ, Crevey BJ. Bradycardic responses to vagally mediated bedside maneuvers in healthy volunteers. Am J Med 1991;90:725–729.
Mallet M. Carotid sinus syndrome. Hosp Med 2003;64:92–95.
Kenny RA, Richardson DA. Carotid sinus syndrome and falls in older adults. Am J Geriatr Cardiol 2001;10:97–99.
Brignole M, Menozzi C. Carotid sinus syndrome: Diagnosis, natural history and treatment. Eur JCPE 1992;2:247–254.
Coplan NL, Schweitzer P. Carotid sinus hypersensitivity. Case report and review of the literature. Am J Med 1984;77:561–565.
Rodriguez G, Francione S, Gardella M, et al. Judo and choking: EEG and regional cerebral blood flow findings. J Sports Med Phys 1991;31:605–610.
Ikai M, Ishiko T, Ueda G. Physiological studies on “choking” in judo. Bull Assoc Sci Stud Judo, Kokokan 1958;Report 1:1–12
Suzuki K. Medical studies on “choking” in judo, with special reference to electroencephalographic investigation. Bull Assoc Sci Stud Judo, Kodokan 1958;Report 1:23–48
Rau R, Raschka C, Brunner K, Banzer W. Spectral analysis of electroencephalography changes after choking in judo (juji-jime) Med Sci Sports Exerc 1998;30:1356–1362.
Reay DT, Halloway GA Jr. Changes in carotid blood flow produced by neck compression. Am J Forens Med Path 1982;3:199–202.
Raschka C, Stock A, Brunner K, Witzel K. Changes of intracerebral blood flow during choking (shime-waza) in judo by transcranial Dopplersonography. Dtsch Z Sportmed 1996;47:393–398.
Ogawa S, Akutsu K, Sugimoto H, et al. Physiologic studies on “choking” in judo with reference to hypophysio-adrenocortical system. Bull Assoc Sci Stud Judo, Kodokan 1963;Report 2:107–114
McClane GE, Strack GB, Hawley D. A review of 300 attempted strangulation case. part II: Clinical evaluation of the surviving victim.
Guyot LL, Kazmierczak CD, Diaz FG. Vascular injury in neurotrauma. 2001;23:291–296.
Biousse V, D’Anglegan-Chatillon J, Touboul PJ, et al. Time course of symptoms in extracranial carotid artery dissections. Stroke 1995;26:235–239.
Alimi Y, Di Mauro P, Fiacre E, et al. Blunt injury to the internal carotid artery at the base of the skull: Six cases of venous graft restoration. J Vasc Surg 1996;24:249–257.
Fisher CM. The headache and pain of spontaneous carotid artery dissection. Headache 1982;22:60–65.
Hughes KM, Collier B, Green KA, Kurek S. Traumatic carotid artery dissection: A significant incidental finding. Am Surgeon 2000;66:1023–1027.
Kerwin AJ, Bynoe RP, Murray J, et al. Liberalized screening for blunt carotid and vertebral artery injuries is justified. J Trauma 2001;51:308–314.
Biffl WL, Moore EE, Ryu RK, et al. The unrecognized epidemic of blunt carotid arterial injuries. Ann Surg 1996;223:513–525.
Fabian TC, Patton JH, Croce MA, et al. Blunt carotid injury: Importance of diagnosis and anticoagulant therapy. Ann Surg 1996;223:513–525.
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© 2006 Humana Press Inc., Totowa, NJ
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Vilke, G.M. (2006). Neck Holds. In: Ross, D.L., Chan, T.C. (eds) Sudden Deaths in Custody. Forensic Science and Medicine. Humana Press. https://doi.org/10.1007/978-1-59745-015-7_3
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DOI: https://doi.org/10.1007/978-1-59745-015-7_3
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