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Ok we have some data from Kuroneko. This is what to do if your mate, BF,GF wife/husband etc OD's .
First the Don'ts
http://www.unodc.org/documents/southasi ... -users.pdf

Don’t leave someone who’s overdosing alone except if you absolutely must
leave the area to call for help; the client could stop breathing and die.

 Don’t put the client in the bath; it could lead to death.

 Don’t serve anything to drink or induce vomiting; the client could choke.

 Do not make him/her drink salt water, or put salt in the mouth. This does not
help. On the contrary, he/she may choke.

 Do not inject salt water as this is dangerous and can cause sudden death among
the clients.


Overdose Management

If you think someone is overdosing: check the following:

 Is the person breathing?

 Is the person responsive (do they answer when you shake them and call their name)?

 Does he/she respond to stimulation (such as sternum rub)?

 Can the person speak?

 What is the colour of his/her skin?

Following are the basic steps to respond effectively to most opioid overdose cases. The steps can be best
remembered by an acronym “SCARE ME3”








Evaluate

 Is the client any better?

 Can you obtain Naloxone quickly enough?

 Can you prepare an injection of Naloxone?

Naloxone.

Muscular Injection

 Prepare the Naloxone.

 Inject it straight into upper arm, butt, or thigh.

 Remember intramuscular (IM) injection is as effective as intravenous (IV) injection of Naloxone.
Evaluate and support

 Is the client breathing on his/her own?

 If the first shot doesn’t work within 4 minutes, give him/her a second dose of Naloxone.

 Comfort the client – he/she will suffer from opioid withdrawals after Naloxone injection. Remind the
client that the effect of Naloxone will wear off in a little while and they will stop feeling sick.

 Try not to let him/her use more drugs until the effect of Naloxone wears off. Naloxone wears off in 30-90
minutes. Stay with them until they go to the hospital.

I guess you have never seen Pulp Fiction. You've got to jam the huge needle of Adrenaline through the chest directly into the heart.

In jest to many pills;
pump stomach/ force the person to puke
Don't let them fall asleep

Smack/coke overdose
we used to shoot a shot of milk ( or coconut milk) into the bloodstream
and the adrenaline shot

Only lost one friend to an od

Ice bath, if possible.

Think you have to do something like this...
Lance: [answering the phone] Hello.
Vincent: Lance! It's Vincent. I'm in big fuckin' trouble, man. I'm coming to your house.
Lance: Whoa. Whoa. Hold your horses, man. What's the problem?
Vincent: I've got this chick, she fuckin' O.D.in' on me!
Lance: Well, don't bring her here! I'm not even fuckin' joking with you, man! Do not be bringing some fucked-up pooh-bah to my house!
Vincent: No choice.
Lance: She's O.D.in'?
Vincent: She's fuckin' dyin' on me, man!
Lance: Okay, then you bite the fuckin' bullet, take her to a hospital and call a lawyer.
Vincent: Negative.
Lance: This is not my fuckin' problem, man! You fucked her up, you fuckin' deal with this!
Lance: You are not bringing this fucked-up bitch into my house!
Vincent: This fucked-up bitch is Marsellus Wallace's wife! Do you know who Marsellus Wallace is? Do you? If she croaks on me, I'm a fuckin' greasespot!
Lance: Are you calling me on the cellular phone? I don't know you. Who is this? Don't come here, I'm hanging up the phone! Prank caller, prank caller!

Jody: [seeing Mia on the floor] Who's she?
Lance: Look, go to the fridge and get the thing with the O.D. adrenalin shot.
Jody: What's wrong with her?
Vincent: She's O.D.ing!
Jody: Get her the hell outta her!
Lance, Vincent: GET THE SHOT!
Jody: Fuck you! Fuck you, too!
Vincent: What a fuckin' bitch!
Lance: You just keep talking to her, all right? She's getting the shot, I'm gonna get my little black medical book.
Vincent: What the fuck do you need a medical book for?
Lance: I've never had to give an adrenalin shot.
Vincent: You never give an adrenalin shot?
Lance: I've never had to, all right! I don't go joy-poppin' with bubble-gummers! My friends can handle their highs!
Vincent: GET THE SHOT!

Vincent: [Lance is looking for a medical book] Hurry up, Lance! We're losing her!
Lance: I'm lookin' as fast as I can!
Jody: [to Vincent] What's he looking for?
Vincent: I dunno. Some book.
Jody: [to Lance] What're you looking for?
Lance: A little black medical book!
Jody: What're you looking for?
Lance: A little black fuckin' medical book! It's like a textbook they give to nurses.
Jody: I never saw no medical book.
Lance: Trust me, I have one.
Jody: Well, if it's so important, why don't you keep it with the shot?
Lance: I DON'T KNOW! STOP BOTHERING ME!
Jody: Listen, while you're looking for it, that girl's gonna die on our carpet! You're never gonna find anything in this mess!
Lance: I'm gonna fuckin' kill you IF YOU DON'T SHUT UP!
Vincent: [from the other room] STOP ARGUING AND GET IN HERE!

Lance: You're going to give her an injection of adrenaline directly to her heart. But she's got, uh, breastplate...
[taps Mia's chest]
Lance: So you gotta pierce through that. So what you have to do is, you have to bring the needle down in a stabbing motion.
[demonstrates]
Vincent: I-I gotta stab her three times?
Lance: No, you don't gotta fucking stab her three times! You gotta stab her once, but it's gotta be hard enough to break through her breastplate into her heart, and then once you do that, you press down on the plunger.
Vincent: What happens after that?
Lance: I'm kinda curious about that myself...

So with no adrenaline and no syringes, no milk and the drug already fully ingested into the system, your a gonna?
What happens if you take them down the local shop and dump them in the orange bin? What does lowering the body temp do? Surely better to get them to hospital asap? i guess theoretically you could get the bin in the tuk tuk if cooling the patient was a delaying tactic.

juansweetpotato wrote:So with no adrenaline and no syringes, no milk and the drug already fully ingested into the system, your a gonna?

Die.

juansweetpotato wrote:What does lowering the body temp do?

Decreases blood pressure.

juansweetpotato wrote:Surely better to get them to hospital asap?

No.

juansweetpotato wrote:i guess theoretically you could get the bin in the tuk tuk if cooling the patient was a delaying tactic.

And then? Local hospitals are not equipped to deal with opiate overdoses. They'll stand around staring and then write it off as heart stopped.

Don't OD on opiates, that's really the best advice you'll get.

juansweetpotato wrote:So with no adrenaline and no syringes, no milk and the drug already fully ingested into the system, your a gonna?
What happens if you take them down the local shop and dump them in the orange bin? What does lowering the body temp do? Surely better to get them to hospital asap? i guess theoretically you could get the bin in the tuk tuk if cooling the patient was a delaying tactic.

As far as I am aware Naloxone is the usual safe antidote to be administered to opioid od victims. And can be administered IM or IV.

Heres the SAMHSA Opiod OD toolkit, Five essential steps for first responders http://www.integration.samhsa.gov/opioi ... onders.pdf

And here's the UNODC document - Opioid overdose prevention and management for injecting drug users. see page 9, Chapter 5 for OD management.

http://www.unodc.org/documents/southasi ... -users.pdf