1. Call 911 immediately. Say the person is unresponsive and describe any substances if you know them. Stay on the line.
2. Check responsiveness and breathing. Shout their name, shake shoulders hard. Watch the chest: slow, shallow, stopped, gurgling, or snoring while unconscious all count as red flags.
3. Give naloxone (Narcan). Nasal spray: peel the package, place the tip in one nostril, press the plunger firmly (4 mg, one full spray). No improvement in 2–3 minutes? Give a second dose in the other nostril.
4. Rescue breathing / CPR if they are not breathing and you know how.
5. Roll them into recovery position and stay with them until medics arrive. Naloxone wears off in 30–90 minutes, so they can slip back into overdose after it fades.

Anyone unconscious but breathing goes here. It keeps the airway open if they vomit.

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

• Carry at least 2 doses per person. It's free at syringe service programs and naloxone access points across Minnesota, and sold over the counter at pharmacies — no prescription needed.
• Store at room temperature, away from sun and extreme cold.
• Check expiration dates regularly.
• Nasal spray: peel, place tip in a nostril, press firmly. Call 911. Repeat in 2–3 minutes if needed.
• Teach your buddies the recovery position and to keep watching the person until help arrives.
• Our harm reduction booths carry free Narcan plus instructions, test strips, and water. Find a booth

• Sip water steadily. Small amounts often beat chugging.
• Use electrolytes if sweating heavily.
• Move to shade or air conditioning.
• Cool with wet towels or ice packs on the neck, wrists, and armpits.
• Confusion, dizziness, or collapse from heat: call 911. If someone is confused or unconscious from heat, do not give them fluids (choking risk). Cool them and wait for medics.

• Racing heart, shaking, sweating, shortness of breath: this can be panic, and panic passes.
• Grounding, 5-4-3-2-1: name 5 things you see, 4 you can touch, 3 you hear, 2 you smell, 1 you taste.
• Breathing: inhale 4 seconds, hold 4, exhale 6. Repeat.
• Move somewhere calm and quieter.
• Reassure them: "You are safe. This will pass."
• Minnesota Warmline: 651-288-0400, or text "Support" to 85511.

• Clear the area and cushion their head.
• Turn them on their side if you can.
• Do NOT put anything in their mouth.
• Call 911 if the seizure lasts more than 5 minutes, if another follows, or if they do not wake up after.

• High fever, confusion, muscle rigidity, sweating, fast heartbeat.
• Often triggered by MDMA combined with antidepressants or several serotonergic drugs at once.
• Cool them down and call 911 immediately. This is a medical emergency.

• Use the buddy system and set a meetup point before the show.
• Stay at the edges of dense crowds. Do not push forward.
• If someone falls, make space around them and alert staff.
• Know where the exits and first aid stations are when you arrive.
• Keep your phone charged or bring a power bank.