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==== Nerve damage & circulation issues ==== | ==== Nerve damage & circulation issues ==== | ||
Tight restraints or prolonged immobilization can put pressure on nerves and restrict blood flow, potentially leading to nerve damage, numbness, tingling, or loss of sensation in the bound areas. Primary areas to look out for are the wrists and ankles to produce wrist and foot drop respectively. This risk is particularly relevant in long-term bondage scenarios or when restraints are applied incorrectly. | Tight restraints or prolonged immobilization can put pressure on nerves and restrict blood flow, potentially leading to nerve damage, numbness, tingling, or loss of sensation in the bound areas. Primary areas to look out for are the wrists and ankles to produce [[wikipedia:Wrist_drop|wrist]] and [https://www.mayoclinic.org/diseases-conditions/foot-drop/symptoms-causes/syc-20372628 foot drop] respectively. This risk is particularly relevant in long-term bondage scenarios or when restraints are applied incorrectly. | ||
==== Joint injury ==== | ==== Joint injury ==== | ||
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Some scenes may involve bondage that is completely inescapable, requiring the assistance of a second person (a dominant partner) to apply and undo the restraints to the submissive. If the dominant partner becomes incapacitated (e.g. due to a medical emergency), this could result in serious injury or death to the submissive. | Some scenes may involve bondage that is completely inescapable, requiring the assistance of a second person (a dominant partner) to apply and undo the restraints to the submissive. If the dominant partner becomes incapacitated (e.g. due to a medical emergency), this could result in serious injury or death to the submissive. | ||
'''Mitigation''' | ==== '''Mitigation''' ==== | ||
Disclose details about the scene to a trusted third-party and ask them to physically intervene or call emergency services if the dominant/submissive does not check in by a certain time. Here are a few suggestions for how to do this. | |||
* Ask a trusted person who is located in physical proximity to physically intervene if the dominant/submissive does not check in by a certain time. | * Ask a trusted person who is located in physical proximity to physically intervene if the dominant/submissive does not check in by a certain time. | ||
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== Risk mitigation <!-- Describe the risk mitigation for this kink. --> == | == Risk mitigation <!-- Describe the risk mitigation for this kink. --> == | ||
=== | === Pre-scene preparation === | ||
==== '''Negotiation''' ==== | |||
Discuss limits, medical conditions, and safewords before the scene begins. Bottoms may be less communicative or nonverbal once they are in sub space. | |||
* Does the bottom have any allergies? Jute/hemp, latex, etc can cause allergic reactions. | |||
** Does the bottom have an EpiPen or inhaler? Is it close by? | |||
* Does the bottom have any injuries/illnesses? Certain positions can exacerbate preexisting conditions. | |||
* Is the bottom on any recreational drugs or prescription medication? Even prescription medication can affect clotting and breathing, cause fainting, interfere with communication, etc. | |||
* Does the bottom have a history of anxiety/PTSD? Certain positions/bindings/type of touch can trigger anxiety, flashbacks, and claustrophobia. | |||
* Can the established safeword/gesture can be heard/seen regardless of positioning, equipment such as gags, and even if nerve function is compromised? | |||
==== Keys ==== | |||
Keep the keys of locks used in an accessible location during the scene. Color coding of differently keyed locks may help speed up extrication. | |||
==== '''Cutting tools''' ==== | |||
For any bondage wherein a bottom might need to be cut out of bindings, have a cutting tool handy. Do not use knives, razors, or exposed blades. These can cause serious injuries. Some good options for cutting tools are: | |||
{| class="wikitable" | {| class="wikitable" | ||
|+Cutting Tools<ref>{{Cite web |title=General Rope Bondage Safety - Shibari Study |url=https://www.youtube.com/watch?v=xu3QjwaLoVA&list=PLduA-UQj-jL-QmvCiSoshEAqF-EWDBUdK&index=2&t=87s}}</ref> | |+Cutting Tools<ref>{{Cite web |title=General Rope Bondage Safety - Shibari Study |url=https://www.youtube.com/watch?v=xu3QjwaLoVA&list=PLduA-UQj-jL-QmvCiSoshEAqF-EWDBUdK&index=2&t=87s}}</ref> | ||
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|} | |} | ||
=== During === | === During scene === | ||
==== '''Upper body nerve | ==== '''Upper body nerve''' ==== | ||
Note: Nerve compression might have no sensation at all, and only be evident in loss of movement. It is different from circulation issues, which might feel like the "pins and needles" tingly numbness of a limb falling asleep. The bottom might feel like the tied limb is a bit cold or moving more slowly. Nerve issues will most likely present in isolated areas of the limb, for example, an icy feeling specifically in the pinky, or an inability to lift the wrist. | Note: Nerve compression might have no sensation at all, and only be evident in loss of movement. It is different from circulation issues, which might feel like the "pins and needles" tingly numbness of a limb falling asleep. The bottom might feel like the tied limb is a bit cold or moving more slowly. Nerve issues will most likely present in isolated areas of the limb, for example, an icy feeling specifically in the pinky, or an inability to lift the wrist. | ||
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*** numbness | *** numbness | ||
==== Hand checks<ref name=":2" /> | ==== Hand checks<ref name=":2" /> ==== | ||
Note: performed while in bondage which crosses wrists/arms (no need in arms free chest harness) | Note: performed while in bondage which crosses wrists/arms (no need in arms free chest harness) | ||
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* Top can place two fingers in bottom's hands and have them squeeze, bottom should be able to squeeze strongly. Weakness can indicate compression of a nerve. | * Top can place two fingers in bottom's hands and have them squeeze, bottom should be able to squeeze strongly. Weakness can indicate compression of a nerve. | ||
==== Lower body nerve | ==== Lower body nerve ==== | ||
* Common peroneal nerve<ref>{{Cite web |title=Common peroneal nerve dysfunction - Mount Sinai |url=https://www.mountsinai.org/health-library/diseases-conditions/common-peroneal-nerve-dysfunction#:~:text=Causes,lower%20leg%2C%20foot%20and%20toes.}}</ref> | * Common peroneal nerve<ref>{{Cite web |title=Common peroneal nerve dysfunction - Mount Sinai |url=https://www.mountsinai.org/health-library/diseases-conditions/common-peroneal-nerve-dysfunction#:~:text=Causes,lower%20leg%2C%20foot%20and%20toes.}}</ref> | ||
** | ** Decreased sensation | ||
** | ** Foot drop | ||
*Femoral Nerve | *Femoral Nerve | ||
[[Total enclosure]]: | [[Total enclosure]]: | ||
'''Breathing | ==== '''Breathing''' ==== | ||
neck compression | neck compression | ||
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=== In case of emergency === | === In case of emergency === | ||
If the incident is threatening limb or life, extricate the bottom as quickly and safely as possible. Maintain a calm and reassuring demeanor (riggs). Cutting tools should be used instead of untying ropes or removing straps. Padlocks should be opened using bolt cutters. Notify emergency services immediately. Inform the attending medical professionals truthfully with what actually happened so they can accurately diagnose and treat injuries. | |||
=== Post-scene === | |||
Ask the bottom if there is a particular limb that requires release first. Provide aftercare. Check in with the bottom over the next few days. | |||
=== Bondage kit suggestions === | |||
=== Bondage kit suggestions | |||
* Cutting tool | * Cutting tool | ||
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== Known incidents <!-- Provide a list of links to articles describing incidents involving this kink. --> == | == Known incidents <!-- Provide a list of links to articles describing incidents involving this kink. --> == | ||
Matt - Mad_Scientist<ref>{{Cite web |title=RIP, Matt |url=https://kinkengineering.tumblr.com/post/24006986572/rip-matt}}</ref> | |||
* Matt - Mad_Scientist<ref>{{Cite web |title=RIP, Matt |url=https://kinkengineering.tumblr.com/post/24006986572/rip-matt}}</ref> | |||
== References == | == References == | ||