Emergency Informations

Symptoms:
Person isn't conscious or not breathing

What to do:
IMMEDIATELY begin heart-lung resuscitation!

Cardiac massage and artificial respiration = heart-lung resuscitation:
At a rhythm of 30:2, do the following: 30 times cardiac massage, 2 times mouth-to-nose or mouth-to-mouth resuscitation, then check their breathing. If it hasn't started immediately, repeat this heart-lung resuscitation again immediately!

Heart-lung resuscitation:
If two people are available, you can divide the tasks and your energy. One person can do the resuscitation and the other can do the cardiac massage, do this in turns. Do this pattern until the doctor comes or until the unconscious person begins breathing again on their own!

Mouth-to-nose resuscitation:
Lay the unconscious person on his/her back on the floor, kneel down to the side. Take any foreign objects from the mouth of the person. Gently pull back the head of the person, so that the airways aren't blocked by the tongue. Push their jaw up and close the mouth. Inhale deeply and exhale into the nose of the unconscious person, as fast and often as you normally breathe. Keep checking if the chest of the unconscious person starts going up and down. Repeat! Keep resuscitating until the doctor comes or the person begins breathing again.

Cardiac massage:
The person has to be lying on a stable and hard surface. Put one palm on top of the other, and put them both in the middle of the chest in the lower third of the breastbone. Spread your fingers along the chest and with your arms out straight, push the breastbone (not the whole chest) straight down 3-5 cm - quickly, but firmly. Repeat this slightly faster than the second hand of a clock between 80-100 times per minute.Do the cardiac massage and heart-lung resuscitation one after the other, at a quick pace: 30 times cardiac massage, then 2 resuscitations - until the doctor arrives!

Symptoms:
Person is breathing, but is not conscious

What to do:
Recovery position 

Call the emergency doctor 

Keep the person warm with blankets, etc. 

Watch their breathing If they ask: do not give them food, if they want water, make sure it's not carbonated 

Symptoms:
Red, hot head; warm, almost hot skin; racing pulse, nausea

What to do:
It is important to place the person so that their head is up (sit them down, and stay by them). Give him/her vitamins and mineral drinks. If you're at a party, the best thing is to find a chill out area (if there is one) or to go outside. Otherwise, find a calm, cool corner to stay.

If the person doesn't get better, call the emergency services! In this case too, stay with the person the whole time and check their breathing and pulse.

Symptoms:
Eeyes roll back, muscles get stiff, arms and legs itch a lot (they may often foam at the mouth; release urine and excrement)

What to do:
Lay the person down, protect them from harm (move away any objects and furniture, place pillows or clothes under their head). Do not try to hold the person down! If the seizure lasts more than 5 minutes or if it's the first time it's happened to this person: call the emergency doctor!

If the attack ends, put the person in the recovery position, check their breathing and pulse. After an attack, you absolutely should call the doctor! 

Symptoms:
Visual and/or acustic hallucinations, paranoia/persecuratory delusion 

What to do:
Try to stay calm and explain to the person that their situation is a natural reaction of their brain and that those symptoms sooner or later happen to anyone who is suffering under sleep-deprivation (with or without drugs). Put emphasis on the fact, that the state is temporarly and will disappear, as soon as thei catch up on some sleep and that the person doesn't have to be afraid to stay like this forever. 

Try to find out what else might help the affected person to get to rest, e.g. changing the place, hot drinks (no coffee or energizers), calming breathing techniques or close friends. 

If the state lasts very long and gets unbearable for the person, you can offer to call the ambulance. 

The person should not take any more substances to get down, since they could worsen their state. Only emergency doctors can administer the right tranquilizers, that can offer some relieve for a limited period of time. 

Symptoms:
Disorientation, panic, fear (horror trip), overstrain with the situation. 

What to do:
Provide security: If possible, bring in known / trusted people and go to a quiet place. Tell him / her who you are, that you are there to help and stay with the person. Body contact or physical proximity can promote a sense of security. However, be careful with a stranger, you could also scare her into it. 

Give Orientation: Often those affected lose the sense of space and time: tell the person from time to time how much time has passed and where you are. Talk calmly and try to steer your thoughts in positive directions. Tell her over and over again that her current condition derives from the substance consumed, that the trip passes by and that everything is fine. 

Promote well-being: Give her / him something to drink (no coffee, energizer or alcohol, since they can interact with previously ingested substances). Make sure the person does not cool or overheat. Breathing the person too fast ("hyperventilating"), make sure to breathe quietly or give her a paper bag to breathe in. 

Get help: If you want to call in another person or a doctor because you can not or do not want to be able to handle the situation on your own, talk to the person concerned about it. Overloads the whole thing or you can not assess whether the person requires medical help: Call the rescue service. 

Symptoms:
Fast, weak pulse, paleness, cold sweat, agitated, disoriented, nausea 

What to do:
Lay the person flat on their back, and rest their legs above their body, check breathing and consciousness. If nothing improves: call emergency services!

A serotoninesyndrome means that too much of the neurotransmitter serotonine is in the brain or other areas of the body. The consumption of high doses of MDMA or mixing MDMA with other substances such as antidepressants (in particular MAO-Inhibitors) or other substances which affect serotonine levels. A serotoninesyndrom can be life threatening! 

Symptoms:
Fever, shivers, (muscle) twitches, diarrhea, nausea, high blood preasure, lack of coordination, cardiac arrhytmia, anxietey and confusion. 

What to do:
When a serotoninesyndrome is suspected, immediately call the ambulance and inform them about the consumption of substances.