Relation of body mass index and waist-to-height ratio to cardiovascular disease risk factors in children and adolescents: the Bogalusa Heart Study. Freedman DS, Kahn HS, Mei Z, Grummer-Strawn LM, Dietz WH, Srinivasan SR, Berenson GS. [PubMed-indexed for MEDLINE].
Smelling salts release ammonia (NH3) gas, which triggers an inhalation reflex (that is, causes the muscles that control breathing to work faster) by irritating the mucous membranes of the nose and lungs. Although these hypothetical mechanisms have been discussed, it is likely that smelling salts are not effective.
This happens almost instantaneously, since smelling salts trigger an acute arousal effect.. Once your heart rate begins to pick up, your sympathetic nervous system begins to take over. The sympathetic nervous system controls the fight-or-flight response, and it's activated during stressful situations.