and maintain a patent airway.
Breathing:
Check for breathing ... Look at the chest rise, listen for air exchange, feel for a breath. Initiate 2 slow breaths if there is no breathing,
Circulation:
Check for the presence of a carotid pulse. If absent, commence chest compressions and artificial respiration.
The type of choke holds discussed in this article have been used for years at thousands of tournaments all over the world without one reported fatality in more than 100 years of judo. As with other physical sports, judo comes with the risks of serious injury. But, as with most aggressive sports enthusiasts agree, the merit and value of participation far outweigh the risks.

[Original Editors Note: This is Boulay's revised article published in "Coaching Review" Ottawa, Ontario, Canada, a periodical no longer in print. His article addresses Shimewazas for Judoka, and includes two photos that were omitted from Dr. Koiwai's article to avoid duplication. John Boulay is a certified Athletic Therapists in private practice at Knatcx Sports Medical Clinic in Montreal. He is an experienced EMT and CPR Instructor-Trainer and has taught courses in emergency care and injury prevention. He is a team therapist for Judo Canada.]