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R SIMULATED. Carla really passed out hanging in the manner described and shown, and would have died had no one been there to rescue her. If you attempt to recreate this, believing you are safe because of the knowledge you've amassed through years of watching television, you are unlikely to live through it. Television gets everything wrong and asphyxiation is far more insidious and lethal than people believe. 500 to 1000 people a year just in the U.S. die in precisely this manner already, don't be one of them. This video posting may be shared freely in order that everyone may see it, but to use it for public display in a setting such as school, business, corporation, government agency, advocacy organization, etc., please purchase a copy licensed for that purpose. We want everyone to see it, but at the same time people really stuck their necks out to make this video possible. Schools and other organizations can purchase a copy here: https://gum.co/rPzBJ NOTE: COPIES NOW FREE Everyone at risk needs to see this so you can now get it free with discount code "savekids". It may be shown or shared freely in complete and unaltered form but not reposted online. If any physicians researching deaths by asphyxiation wish to witness and examine a live demonstration of "siphon effect and sudden blood pressure drop" for research purposes, you may contact me and Carla about arranging one.