Key points
- Must establish non-verbal safe signals
- Never leave gagged person alone
- Ensure breathing is unobstructed
- Watch for choking hazards
- Have quick-release mechanisms
In detail
- Non-verbal signals: Object to drop, finger snaps, hand gestures, humming patterns
- Breathing: Ensure nose is clear, gag doesn't block airway, person can breathe comfortably
- Monitoring: Watch constantly, check skin color, listen to breathing, observe for distress
- Gag types: Ball gags (size matters), bit gags (less restrictive), O-ring gags (access but restrictive)
- Risks: Choking on saliva, vomiting risk, jaw strain, dental damage, panic
- Duration: Start short, gradually increase, take breaks, check jaw comfort
- Medical issues: TMJ problems contraindicate gags, dental work can be damaged
Warnings
- Choking risk if person vomits
- Cannot call safe word verbally
- Panic can escalate quickly when gagged
- Jaw damage from prolonged use
- Aspiration risk with saliva buildup
- Never gag someone who is intoxicated
Resources and next steps
- Practice non-verbal signals extensively
- Start with less restrictive gags
- Keep EMT scissors accessible
- Learn the Heimlich maneuver (abdominal thrusts)
- Have the person practice their signals before the gag goes on