The Carotid Restraint Training Institute was developed to create expert bilateral vascular restraint instructors and professionally trained end-users at the agency level. The Carotid Restraint Control Hold (CRCH) is a bilateral vascular restraint and is NOT a respiratory choke hold. The CRCH technique protects the delicate front structures of the neck including the subject's airway. As with most police use-of-force techniques, associated risks always remain a factor. A thorough and effective training program is essential for proper application of bilateral vascular restraint techniques, strong litigation defense, and protection against claims of deliberate indifference in police training or policy. This course was designed to meet or exceed law enforcement and state P.O.S.T. training standards. Course topics include: Neck restraint history, types of neck restraints, objectives and goals, medical opinions, case law, anatomy and physiology, effects on the body, risk factors, post application side effects, follow up actions, excited delirium, pre-contact assessment, technique development, recognizing submission, defense against neck restraints, instructor development and more.