duke_of_illusions (
duke_of_illusions) wrote2011-10-30 10:21 pm
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domesticity
Al had stayed over last night... and hasn't quite left this morning, either. The day is stretching on, and Barma is still beautifully comfortable, now immersed in a book, as his fingers trail through Al's hair.
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"Read to me?" he asks, without opening his eyes.
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""Some people teach that choking can be safely done if pressure on the windpipe is avoided. Their belief 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. However, that's not the whole story.
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. However, every now and then, the rate and force decreases to zero and the bottom "flatlines" into asystole -- another, and more difficult to treat, form of cardiac arrest. There is no way to tell whether or not this will happen in any particular instance, or how quickly. There are many documented cases of as little as five seconds of choking causing a vagal-outflow-induced cardiac arrest."
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Most of it is a blur, but several bits of it stand out to him.
"That's a pity..."
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Barma sounds mildly concerned himself.
"Finally, as a CPR instructor myself, I want to caution that knowing CPR does little to make the risk of death from breath control play significantly smaller. While CPR can and should be done, understand that the probability of success is likely to be less than 10%.
I'm not going to state that breath control is something that nobody should ever do under any circumstances. I have no problem with informed, freely consenting people taking any degree of risk they wish. I am going to state that there is a great deal of ignorance regarding what actually happens to a body when it's suffocated or strangled, and that the actual degree of risk associated with these practices is far greater than most people believe."
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"I wouldn't want to accidentally hurt you," he murmurs.
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He smiles, and leans down to kiss his forehead.
"But it pays to be aware of the risks."
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He has to smile at the kiss.
"Even just the pressure, without actually cutting off any air or blood, feels good. It's the dominance of the hold."
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"Yes, I would. I trust you, and gentle pressure shouldn't be nearly as dangerous."
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He nods.
"I'll be careful."
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He asks quietly, settling.
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He admits.
"Hot water on your face."
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Al reaches up and strokes a finger firmly down the back of Barma's neck, finding the spots that tense up when someone reads.
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The knock is a little hesitant.
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"Alphonse."
Smiling.
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"Missed you," he murmurs.
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Holding him tight.
"Are you hurt? What are the bandages from?"
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"... I'll tell you once we're inside?" he promises.
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Not letting go of him, he lifts him up a touch and walks them backwards.
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Soft.
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Softly.
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He tells him, seriously.
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"Someone tried to hurt me a few days ago. He had chloroform, and he snuck up behind me in the piano room."
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Soft.
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