If your friend is in trouble
It can be scary when someone you care about is having a bad time on substances. Here's what to do.
Signs something is wrong
•They're confused, distressed, or panicking
•They're overheating or their heart is racing
•They're very drowsy or hard to wake up
•They're vomiting and can't stay awake
•They've collapsed or are unconscious
•They're having a seizure
•Their lips or fingernails are turning blue
What to do
If they're conscious but distressed
.Stay calm. Your energy affects theirs.
.Move them somewhere quieter and cooler if possible.
.Reassure them: "I'm here, you're safe, this will pass."
.Help them sit comfortably. Offer small sips of water.
.Don't leave them alone.
.If symptoms are getting worse rather than better, call for help.
If they're unconscious or very drowsy
.Call emergency services (112/999/911) immediately.
.Put them in the recovery position (on their side).
.Check their breathing regularly.
.Do NOT try to make them vomit.
.Do NOT give them water if they can't swallow safely.
.Stay with them until help arrives.
If they're overheating
.Move them to a cool area.
.Remove excess clothing.
.Apply cool (not cold) water to their neck, armpits, and groin.
.Fan them.
.Offer small sips of water if conscious.
.If temperature continues rising, call for help.
If they're having a seizure
.Clear the area around them of anything they could hurt themselves on.
.Do NOT hold them down or put anything in their mouth.
.Protect their head with something soft.
.Time the seizure — if it lasts more than 5 minutes, call emergency services.
.After the seizure stops, put them in the recovery position.
Talking to paramedics
Tell them:
•What was taken (substance names)
•How much and when
•Any other substances used (including alcohol)
•Any medications the person takes
•What symptoms you've observed
You will not get in trouble for calling for help. In most countries, Good Samaritan laws protect people who call emergency services during a drug-related emergency.
After the crisis
•Check in with your friend the next day.
•Look after yourself too — witnessing an emergency is stressful.
•If you need to talk to someone about what happened, that's completely OK.