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That's a fair question. First, keep in mind that the OP was talking about a domme he didn't know. Doing edge play (and being beaten unconscious is definitely edge play) with an unfamiliar domme without a safe word is asking for a serious injury. Since he doesn't know her, he doesn't know how skilled and competent she is. If she's a novice domme, there's a good chance that she could take a scene like that way beyond his limits or do stupid, dangerous things (years ago here on SMplace, we got a post from someone whose novice domme GF poured boiling water on him). Even if she's experienced, if she's never played with him before, she may not recognize the small signs he's reached his limit, and without a safe word, he has no way to tell her to stop.
Second, let's talk about beating to unconsciousness, which I think is what you're really talking about. Keep in mind that I'm not a medical doctor, just a kinkster who has worked to educate himself about risks. Assuming that we're talking about a fainting spell (and not say, a concussion from head trauma), the first thing to worry about is how the sub is supported. If he's standing up and he faints, he may fall violently; if he's lying down or well-restrained, that's less likely. (Was the domme in question experienced enough to anticipate this? Can she get him out of bondage easily, and support his weight as she lays him down, so she can assess his situation?)
But let's assume that he's safe that way; perhaps he was strapped to a flogging bench. Why did he faint? Was it a simple vasovagal fainting spell, caused by a drop in blood pressure? Did he vomit and aspirate his vomit--in other words did he faint because he's choking? Did he faint because the beating triggered a heart attack or a stroke? Did he faint because the stress triggered an asthma attack? Did she accidentally hit his heart and cause commotio cardis--rare but not impossible with some forms of impact play? If he was suspended in bondage, did she trigger harness hang syndrome by leaving him there too long (and does she know that she needs to get him out of a vertical position as quickly as possible)? Did a rope slip and cut off his air pipe? All of these are possible scenarios when someone is being beaten to the point of unconsciousness.
Now, if the sub simply fainted from a vasovagal incident, and the domme gets him into a prone position, there's a good chance he'll recover. But that assumes that the domme has enough understanding of BDSM practices and first aid to respond properly. If she just waits until he comes to and then immediately begins beating him again, there's a good chance she's going to trigger a second fainting spell, which increases the chance that he's going to suffer serious damage. If he fainted because of low blood pressure during a vasovagal incident and she keeps beating him, I think (again, I'm not a medical doctor) that that will prolong the low blood pressure, and increase the risk of a heart attack or stroke. And if he fainted for some other reason and she just keeps beating him, there's a good chance he'll die.
A good rule of thumb is that when a sub passes out, play stops and the sub needs to be assessed by someone who can figure out the causes and treat them properly. Anything that leads to unconsciousness has the potential to be extremely dangerous--death or long-term medical problems.
And BDSM must always be safe, sane, and consensual. At the absolute, bare minimum, the sub needs to understand that the fantasy he is pursuing is an extremely dangerous one, one that might, if things go badly, result in his death. My personal opinion is that no amount of sexual gratification is worth the risk of death, but another kinkster might disagree and might be willing to incur that risk in pursuit of his ecstasy. If so, he needs to make sure that his will is in order, his partner is prepared for his death, and that any dependents are provided for.
My basic point is this: some fantasies are too dangerous to actually live out. Anyone who gets seriously into kink needs to learn how to recognize dangerous forms of play, how to minimize the risks that can be minimized, and when to back away from a fantasy. There are many things that sound really hot when you read the fantasy, but when you actually get into them, you realize they're not very fun, or they're really dangerous. Smart kinksters are usually long-lived kinksters; dumb kinksters often aren't.
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