Shock is both common and has a high risk of death. In the United States about 1.2 million people present to the emergency room each year with shock and their risk of death is between 20 and 50%. Signs and symptoms
The presentation of shock is variable, with some people having only minimal symptoms such as confusion and weakness. While the general signs for all types of shock are low blood pressure, decreased urine output, and confusion, these may not always be present. While a fast heart rate is common, those on β-blockers, those who are athletic, and in 30% of cases of those with shock due to intra abdominal bleeding, heart rate may be normal or slow. Specific subtypes of shock may have additional symptoms. Dry mucous membrane, reduced skin turgor, prolonged capillary refill time, weak peripheral pulses, and cold extremities can be early signs of shock. Low volume
Hypovolemic shock is the most common type of shock and is caused by insufficient circulating volume. The most common cause of hypovolemic shock is hemorrhage (internal or external); however, vomiting and diarrhea are more common causes in children.
In the sixth episode, season two of BoJack Horseman, autoerotic asphyxiation and celebrity deaths are recurrent discussions. In the episode, "Clyde Bruckmans Final Repose" of the TV series The X-Files, a psychic implies that special agent Fox Mulder will die by autoerotic asphyxiation. See also
Cerebral hypoxia
Choke hold
Choking game
Facesitting
Hypoxia
Self-bondage
Sexual fetishism

References
Further reading
Robert R. Hazelwood, Park Elliot Dietz, Ann Wolbert Burgess: Autoerotic Fatalities. Lexington, Mass. : LexingtonBooks, 1983. Sergey Sheleg, Edwin Ehrlich: Autoerotic Asphyxiation: Forensic, Medical, and Social Aspects, Wheatmark (15 August 2006), trade paperback, 208 pages ISBN 1587366045 ISBN 978-1587366048
John Money, Gordon Wainwright and David Hingsburger: The Breathless Orgasm: A Lovemap Biography of Asphyxiophilia. Buffalo, New York: Prometheus Books, 1991. External links

Well Hung: Death By Orgasm
Turvey B. "An Objective Overview of Autoerotic Fatalities"
The Medical Realities of Breath Control Play By Jay Wiseman
Is there a safe way to perform autoerotic asphyxiation? - Slate Magazine i