For training purposes only at Latham Centers. Please do not redistribute.

1. Positional Asphyxia DEFINITION: “THE POSITION OF ONE’S OWN BODY INTERFERES WITH THE RESTRAINED PERSON’S ABILITY TO BREATHE AND THE PERSON CANNOT GET ENOUGH OXYGEN”

2. Positional Asphyxia Oxygen is necessary for our muscles and organs to function Asphyxia is caused by depriving the muscles and organs of oxygen Oxygen enters the blood through the lungs and is pumped to the muscles and organs by the heart

3. Air can be prevented from entering the lungs by either obstructing the airway or stopping the chest wall from moving Positional Asphyxia AIRFLOW TO LUNGS CHEST EXPANDS TO BRING IN AIR

6. General risk factors “ THE MORE AGITATED A PERSON IS THE LESS TIME IT WILL TAKE FOR SUFFOCATION TO OCCUR ”

8. Prader-Willi risk factors “ THE AVERAGE TIME BETWEEN BEGINNING A PRONE RESTRAINT AND THE ONSET OF DEATH WAS ONLY 5.6 MINUTES”

11. Common misconception ALMOST ALL SUBJECTS WHO HAVE DIED DURING RESTRAINT HAVE ENGAGED IN EXTREME LEVELS OF PHYSICAL RESISTANCE AGAINST THE RESTRAINT FOR A PROLONGED PERIOD OF TIME.