Recognizing when it’s time to refer to EMS

Calling EMS

Never call EMS for someone you don’t know online. EMS responders typically respond with police, and the potential for harm increases in these situations. Always direct the person to call EMS themselves. If they can get online and talk to you: they can call EMS.

Many places have “Good Samaritan Laws” that provide some protection for people who call EMS for a drug overdose. However, the laws vary by location and do not always provide complete protection. That said: Dying is arguably the worst punishment possible, so even in the face of legal issues, it’s better to call EMS.

Remember that if anyone seems to be having an adverse/abnormal reaction to a drug or combination of drugs, it is always best to err on the side of caution. Ask for feedback from other Helpers or Tripsitters and refer the helpee to services such as Poison Control, nurse lines, or even EMS if it appears they may be having an urgent or life-threatening reaction to drugs.

When the helpee calls EMS for a potential overdose, it is usually advisable to state the symptoms to the operator. It is unnecessary to mention drugs, as doing so may lead to a higher chance that the police will get involved. Have the helpee write down what drugs they’ve taken somewhere that EMS can easily find or even write it on their arm. They should also unlock their door to allow easier access if they pass out before EMS arrives.

Once emergency services are called, it’s best to allow that person to put their full attention into that. Pinging or messaging them for updates at that time can be distracting. Typically, the operators will instruct them on other steps they can take, such as performing CPR or rescue breathing, if they feel it’s necessary.

Once EMS arrives, they should be informed of what drugs the person has taken and any other information, such as dose and timing, to give proper care.

You can use the /ems command to access local numbers for emergency services.