The word *conk* is slang for nose. From Oxford English Dictionary (OED): > conk, n.1 > > The nose. But *conked* also means to *punch on the nose*. From OED: > A punch on the nose or head. > > 1821 P. Egan Boxiana III. 338 Spring however conked his opponent, I think it’s therefore fair to assume that *conked out* originates from someone being punched on the nose and *knocked out*. But that is purely speculative.