Resuscitation Techniques (Kappo)
Immediately release the victim and lay him or her flat so that blood may flow naturally back to the brain. Placing the victim on his or her side, with the head resting on the arm, will prevent vomit aspiration and facilitate breathing if necessary. Monitor the victim closely to make sure the airway is open and the victim is breathing. The opponent will generally regain consciousness spontaneously and be unharmed. If the athlete does not regain consciousness in 20 to 30 seconds and remains unresponsive to your efforts to revive him or her, medical assistance should be sought immediately.
Judo instructors should obtain CPR training and certification for use in case of a breathing or other emergency. Even without chokes Judo is a strenuous physical activity that carries some risks for which the instructor should be prepared. Try to awaken the patient with vocal or physical stimuli such as tapping or shouting. Check for breathing by putting your face close to the patient's mouth and looking at the chest, listening for air exchange, and feeling for a breath. Keep the airway open and initiate rescue breathing if there is no breathing. If a pulse is absent, commence chest compressions.
There are many old methods of traditional resuscitation that can also assist the victim in recovery. If the outcome is less than desirable these interventions may not be defensible in U.S. courts. They have generally been replaced by CPR which is based on more modern medical knowledge. Among sports coaches and medical professionals in the U.S., CPR is commonly recognized as the appropriate response to a medical emergency. Nevertheless the traditional forms of resuscitation are considered advanced techniques of Judo and instructors may wish to study them to complete their training for historical purposes or for use in special circumstances.
Traditional resuscitation techniques include:
- The direct massage of the carotid triangle on the neck to open up a collapsed artery or to manually stimulate the carotid sinus.
- Methods of assisting the victim in waking up and focussing attention such as slapping the victim, striking the sole of the foot, or yelling.
- Methods of inducing or simulating breathing through massage of the chest or diaphragm, expanding and contracting the lungs. Three such methods of Kodokan Judo are Sasoi Katsu, the inductive method, Eri Katsu, the lapel method, and So Katsu, the composite method.