His shoulder catches her midsection, almost doubling her over.  Nerissa pummels his back with her fists as they go crashing to the floor.  On the way down, her temple catches the edge of the dresser.  The pain shot threw her head once move and by the time she was on her back on the floor, her legs pinned under him, she was barely on the brink of consciousness.  She lay quiet, trying desperately to balance and stay on this side of awareness.