Silat
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its when a paramedic or doctor rubs their knuckles hard on the sternum. Its to check for responsiveness, because it causes alot of pain. My paramedic actually essentially punched me in the sternum a few times.
Test it on yourself. rub your knuckles up and down on your sternum as hard as you can. it hurts...
Uuuhhhhhh.... No thanks.
I've taken shots to the sternum before during martial arts practice. I'll pass on that one...
That's a brutal test for responsiveness....