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The fall protection rig shouldn't pose any more issue with a properly fitted cage than it would otherwise. The cage may actually help keep one's bits out of the way of the thigh straps. I have been trained with fall protection because I used to climb towers and do other elevated work. I also rock climb, and do shibari and self suspensions, all with my cage on.

Emergency medical staff have encountered enough weird shit that working around a chastity device would not even slow them down. You might be embarrassed, having your "secret" exposed, but the most you'll get from EMS is whether or not you have your keys with you so they don't have to cut you out.

The only thing I have not been able to do wearing my cage is pee standing up.

Chastity, in and of itself, is generally not a punishment, but a method of control. The punishment comes in when the "victim" is locked, then stimulated or aroused, being unable to do anything about it. A "good" Dominant usually takes into account "real life", and would make allowances. The "free time", for example, might start after the sub arrives at work and the sub must lock back up before leaving for the day. The punishment/torture for the sub would be not being allowed to release while they are free. Psychological torture can be even more effective than physical, especially in this regard.