Suspect an Opioid Poisoning?

Survey the scene to make sure the area is safe, be mindful of sharps and survival animals. When it is safe to proceed, perform the “SAVE ME” steps on the casualty.

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S

Stimulate:
Shout their name, tap their foot and call 911.

M

Medication:
If they are not waking up, administer a dose of nasal naloxone if you are trained. Begin CPR for the next 2-3 minutes.

A

Airway:
Put on your gloves and open their airway. 

E

Evaluate:
A) If the casualty begins breathing, place them in the recovery position and continue to watch them closely until EMS arrive.

B) If there is no response, continue CPR. Naloxone should work within 2-3 minutes. If it does not, deliver another dose of naloxone and continue CPR.

When the casualty begins breathing, place them in the recovery position and continue to watch them closely until EMS arrive.

V

Ventilate:
Using your face shield, deliver 1 breath every 5 seconds, ensuring the chest rises, for a total of 5 breaths.

E

Evaluate:
Are these steps helping? Is the casualty waking up?

Signs of opioid poisoning

There are many signs of opioid poisoning, if you are not sure, look for these:

  • Irregular breathing, or not breathing at all
  • Deep snoring or gurgling sounds
  • Very small pupils
  • Unresponsive – not answering when you shake them or shout their name
  • Limp body
  • Blue or purple fingernail-beds, lips, and tongue. Skin will lack colour (grey for darker tones, pale-white for lighter tones)