Does this woman not have a trachea? She took the blow to the throat, and Keiko put a good amount of effort into that, yet she powered through it and continued to attack. Both of Keiko's legs were now in Kintori's hold, so after her punch to the throat Keiko used left hand to grab onto the back of Kintori's neck, with the intent to cock back her right hand and go for another punch. Things didn't work out as planned, and the proximity made Kintori's headbutt entirely unavoidable. The blow was way beyond what Keiko could naturally endure, and her left hand lost its grip. Keiko's nose was completely broken in the process, and she was honestly extremely lucky the headbutt didn't straight up break her skull. Instead, a spider web fracture formed on her frontal bone, and blood rushed into her nasal cavities, eyesockets, and eventually down her throat. In reaction, Keiko coughed blood out onto Kintori's face immediately. All her muscles loosened as the rattle to her brain threatened her to lose consciousness.
Unfortunately, Kintori wasn't done, finishing Keiko off with a full-powered slam onto the ground. At that point, Keiko would've preferred to be knocked unconscious. Luck wasn't on her side, and she maintained clarity the whole way through. She could feel the ground on her back, knocking the wind out of her lungs and leaving her reflexively gasping. Naturally, the blood flooding her through was breathed in, now shoveling down her lungs, forcing her to cough the blood out,which now pooled in her mouth.
Just barely, Keiko was able to lean onto her side to let hte blood drain out her mouth and clear the way for her to breath. While she laid on her side, blood was pouring out from her mouth, nose, and eyes."A.. ahhh.... h-hel COUGH.. help... aa hh.. ah can't see... ahh'... aaaaaaaaaaaaaah! Ahhhhhhhhh!"
The pain was overwhelming, and her senses were overloaded. Her head felt like it was splitting, shocks of pain ran down her spine and to every corner of her body. There was a ringing in her ears, and the blood filling her nose clogged any chance at a sense of smell. THe blood running out of her mouth coated her tongue in a metallic taste, and her eyes pooled with blood in their sockets, preventing her from seeing. Keiko started to curl up into a fetal position, occasionally writhing in pain, and her pleas for help turned into sobs, tears mixing with the blood in her eyes.