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Stay Trashy
Cannot wake them? Call 911 now.

Even if breathing looks normal. Do not wait to use this guide.

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Awake, but acting strangely?

Breathing normally does not rule out an emergency. Do not assume a sudden change is just the drugs.

Call 911 for warning signs

  • Sudden confusion, a seizure, or collapse.
  • Chest pain, very hot skin with confusion, or trouble breathing.
  • They are hard to wake, or their lips or skin turn blue or gray.
  • They may hurt themselves or someone else, or there is immediate danger.
Call 911 ↗

If you are unsure, call and describe what you see. Do not wait to identify the drug or check interactions.

Keep things calm and safe

  • Stay nearby if it is safe. Speak calmly. Reduce noise and crowds.
  • Do not argue, restrain them, or enter an unsafe scene. Move yourself to safety if needed.
  • Do not give more alcohol, drugs, or unprescribed medicines to calm them down.
  • Watch for changes in breathing and response. If they cannot be woken, call 911 immediately.
Breathing changed? Get emergency steps →
Sources & limits

Adult first-aid education. For a child or infant, tell the dispatcher their age and follow their instructions. This guide cannot diagnose the cause or rule out an emergency. Sources checked October 18, 2026. U.K. sources use 999; in the U.S., call 911.

Skip emergency help — visit site ↗

Adult first-aid guide. For a child, tell the dispatcher their age.
Outside the U.S., call your local emergency number.
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