click to go to

Blog Post | September 19, 2018

What To Do If You Witness an Overdose

*Updated July 2021

The opioid epidemic is a national health crisis, and it’s why we all need to know what to do if we witness an overdose.

As heroin and prescription opioid use increased over the past decade, so did prescription opioid and heroin-related overdose deaths. 100,306 Americans lost their lives to overdoses from April 2020 to April 2021. This is the highest number of Americans lost to overdoses ever recorded. The social isolation resulting from the coronavirus and the infiltration of fentanyl into the illegal drug supply have exponentially increased the number of fatal and nonfatal overdoses.

That’s why we encourage others to learn how to administer naloxone, the opioid antidote, in case someone has an overdose.

Symptoms and Indications of an Overdose:

  • Respiratory depression: slow and shallow breathing or cessation of breathing
  • Making snoring or gurgling sounds
  • Blue or gray skin color
  • Dark lips and fingernails
  • Unable to talk
  • Disorientation
  • Pinpoint pupils
  • Decreased level of consciousness, can’t be woken up
  • No response to stimuli
  • Drug paraphernalia in the vicinity
  • Note: If you can’t get them to respond, don’t assume they are asleep. Not all overdoses happen quickly and sometimes it can take hours for someone to die. Taking action in those hours means you could save a life.

What to Do:

  • This is a medical emergency: Call 911 for a first responder immediately
  • Try to get the person to respond
  • Administer CPR if you are qualified
  • Rub knuckles on the breast bone
  • If they respond, keep them awake and breathing
  • If their skin is blue, perform mouth to mouth rescue breathing
  • Stay with the person.  If you must leave, place the person in a recovery position (place the person on their left side).
  • Look around the victim to see if they are carrying NARCAN (Naloxone), or have it in the vicinity, or if anyone in the area has it… and administer it! Keep in mind, it can take more than one dose of naloxone to revive a person who has overdosed. There is no harm in giving multiple doses to a person in an attempt to revive them. Learn more about Naloxone.

What Not to Do:

  • Do not put the person in a cold bath.
  • Do not inject them with saltwater or stimulant drugs (methamphetamine).
  • Do not try to have them walk it off or sleep it off.
  • Do not induce vomiting.

Learn more about substances and how to respond to an overdose with these free downloadable fact-sheets courtesy of International Overdose Awareness Day: