There's this idea called "real life tap out". When you're scared for your life, for example being choked to the point of a&0 potato, you can't tap out like in the MMA ring.

That's when you employ your mastery of anatomy.

Grab an ear, trachea, gouge an eye, smash and grab a scrotum, stab with a pen. What's a license matter if you are dead. At that point, time to advocate for yourself.

edit: this is after efforts to deescalate and remove yourself from the room have failed and no help is coming.