• Lay the person on their side
• Bend top knee to stabilize
• Tilt head back slightly to keep airway open
• Make sure the mouth is clear
• Stay with them and monitor breathing

1. Call 911 immediately — describe substances if known
2. Check responsiveness and breathing
3. Administer Naloxone / Narcan:
   • Spray into one nostril (2–4 mg), repeat every 2–3 minutes if no response
   • Follow injector voice instructions if using auto-injector
   • Place person in recovery position
4. Provide rescue breathing / CPR if not breathing
5. Monitor continuously until EMS arrives

• Carry at least 2 doses per person
• Store at room temperature, away from sun or cold
• Check expiration dates regularly
• Quick demo: spray, call 911, repeat if needed
• Teach buddies and volunteers recovery position & continuous monitoring
• Harm reduction booths: free Narcan, instructions, test strips, hydration

• Rapid heartbeat, shaking, sweating, shortness of breath
• Grounding: 5-4-3-2-1 method (notice 5 things you see, 4 you touch, …)
• Breathing: inhale 4s, hold 4s, exhale 6s
• Move to calm, quiet area
• Reassure: "You are safe, this will pass"
• Minnesota Warmline: 651-288-0400 or text "Support" to 85511

• Sip water steadily; small amounts better than chugging
• Electrolytes if sweating heavily
• Move to shade / air-conditioned area
• Cool with wet towels or ice packs on neck, wrists, armpits
• Watch for confusion, dizziness, collapse → call 911

• Use buddy system and set meetup points
• Stay at edges of dense crowds; avoid pushing forward
• If someone falls, create space & alert staff
• Know exits and first aid stations
• Keep phone charged or bring power bank

• Clear area and cushion head
• Turn on side if possible
• Do NOT put anything in mouth
• Call 911 if seizure lasts over 5 minutes

• High fever, confusion, muscle rigidity, sweating, fast heartbeat
• Often caused by MDMA + antidepressants or multiple serotonergic drugs
• Cool down; call 911 immediately

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