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The sleeper hold, also known as the mugger’s yoke, figure four head lock, or carotid choke, has been outlawed by most police departments because, although intended only to induce unconsciousness, the carotid arteries of some people will not reopen once the hold is released. However, the choke has been used in Judo competition for over a hundred years with no problems. Application of the choke is described in the choking techniques section.

To defend against the choke, hold an arm in front of your neck and tuck your chin as someone attempts to apply the lock, then use your free arm to counterattack the assailant. Once the coke has been applied, turn your chin into the crook of the choking arm, while raising your shoulders and pushing down with your chin to relieve some of the choking pressure. Try to bite the arm. Reach backward and try to peel off the fingers of the arm that is behind your head to weaken the choke so you may escape.  If you have a pen or some other hard or pointed object, jab into the attacker's hands.

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