Having seen firsthand what happens when someone unknowingly enters a hypoxic enclosed space, I think the difference is foreknowledge. Thrashing sounds like acidosis from holding one’s breath. I was helping an acquaintance work on his old steel boat. There was a watertight compartment. The risk of steel-enclosed spaces is that rusty steel in an enclosed space can consume all of the oxygen, leaving only nitrogen rich air.
He opened the hatch and, before I could stop him, he just strode on in like it was nothing. He was unconscious before I could get to him, maybe ten seconds. Fortunately, he was near enough to the hatch that I could just reach in and grab him, rather than trying to find an air tank and regulator, and then put it on.
He recovered just fine, but had a terrible headache. He didn’t remember anything about it. He didn’t thrash. There was no drama. He walked in and fell unconscious. Lucky for him it was a small space, so the bulkheads kept him from doing a full header into the steel deck.
“Nonviolent Communication” by Marshall Rosenberg.
The lessons for communication and non-reactivity will pay dividends in every aspect of your interpersonal relations. Work, friendships, romantic relationships, even dealing with customer disservice.