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Feels like: Your heart is pumping fast You’re short of breath Your body is hot, sweaty and shaky You have chest pain You can’t talk, can’t walk Looks like: Fast pulse or no pulse Fast or no breathing Hot and sweaty skin Confusion, hallucinations, unconscious Can’t talk, can’t walk Vomiting Seizures crack/coke overdose Feels like: You can’t stay awake You don’t have any energy or strength You can’t walk, can’t talk Looks like: Slow pulse or no pulse Slow breathing or no breathing Skin looks pale and blue, feels cold Can’t wake up or talk Pupils are pinned or eyes are rolled back Vomiting Body is limp heroin overdose heroin crack/coke the user-friendly series Safer Injecting What you need to inject safer: Sterile needle Alcohol swabs Cooker or spoon Rubber tie Clean hands Cotton filter or tampon (unscented) Ascorbic acid/ vitamin C (crack only) Lighter or candle Sterile water What to do if someone ODs Call out for help – do not leave the victim 1 If they’ve OD’d on heroin, try to get them awake and moving If they’ve OD’d on crack/coke, try to get them to slow down and relax 2 Tell paramedics as much as you can about what happened 4 Call 9-1-1 for an ambulance, send someone to seek help and report back 3 Ready to detox? Help is just a phone call away. Call Access Central at 1-866-658-1221, seven days a week from 9am to 7:45pm for detox, residential addiction services and addiction housing. Signs of overdose heroin The high A high that lasts 20 minutes – 2 hours Feeling intense pleasure and reduced pain Warm skin, dry mouth, heavy feeling arms and legs Nausea, vomiting and severe itching Slow, shallow breathing Coming down Feeling restless, sweaty, stomach cramps and diarrhea Muscle spasms and bone pain High blood pressure Strong cravings for more heroin crack/coke The high A high that lasts 15–45 minutes Feeling an intense, euphoric rush Warm skin, dry mouth Feeling thirsty, not hungry Rapid heartbeat and breathing Auditory hallucinations, delusions Coming down Feeling restless, sweaty and twitchy Sensitivity to noise and light Feelings of paranoia Strong cravings for more crack What to expect Note: combining substances can be dangerous. Proceed with caution. ! Your peers created this harm reduction pamphlet for you. Be safe. For more copies, go online at http://vch.eduhealth.ca or email [email protected] and quote Catalogue No. DB.500.S34 © Vancouver Coastal Health, August 2014

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Page 1: heroin overdose What to do if Feels like: someone ODs Safer … · Feels like: You can’t stay awake You don’t have any energy or strength You can’t walk, can’t talk. Looks

Feels like:

Yourheartispumpingfast

You’reshortofbreath

Yourbodyishot,sweatyandshaky

Youhavechestpain

Youcan’ttalk,can’twalk

Looks like:

Fastpulseornopulse

Fastornobreathing

Hotandsweatyskin

Confusion,hallucinations,unconscious

Can’ttalk,can’twalk

Vomiting

Seizures

crack/coke overdose

Feels like:

Youcan’tstayawake

Youdon’thaveanyenergyorstrength

Youcan’twalk,can’ttalk

Looks like:

Slowpulseornopulse

Slowbreathingornobreathing

Skinlookspaleandblue,feelscold

Can’twakeuportalk

Pupilsarepinnedoreyesarerolledback

Vomiting

Bodyislimp

heroin overdose

heroin crack/coke

the user-friendly series

Safer Injecting

What you need to inject safer:

Sterileneedle Alcoholswabs

Cookerorspoon

Rubbertie

Cleanhands

Cottonfilterortampon(unscented)

Ascorbicacid/vitaminC(crackonly)

Lighterorcandle

Sterilewater

What to do if someone ODs

Calloutforhelp–do not leave the victim

1Ifthey’veOD’donheroin,trytogetthemawakeandmoving

Ifthey’veOD’doncrack/coke,trytogetthemtoslowdownandrelax

2

Tellparamedicsasmuchasyoucanaboutwhathappened4

Call9-1-1foranambulance,sendsomeonetoseekhelpandreportback

3

Ready to detox?Help is just a phone call away.Call Access Central at 1-866-658-1221, seven days a week from 9am to 7:45pm for detox, residential addiction services and addiction housing.

Signs of overdose

heroin

The high

Ahighthatlasts20minutes–2hours

Feelingintensepleasureandreducedpain

Warmskin,drymouth,heavyfeelingarmsandlegs

Nausea,vomitingandsevereitching

Slow,shallowbreathing

Coming down

Feelingrestless,sweaty,stomachcrampsanddiarrhea

Musclespasmsandbonepain

Highbloodpressure

Strongcravingsformoreheroin

crack/coke

The high

Ahighthatlasts15–45minutes

Feelinganintense,euphoricrush

Warmskin,drymouth

Feelingthirsty,nothungry

Rapidheartbeatandbreathing

Auditoryhallucinations,delusions

Coming down

Feelingrestless,sweatyandtwitchy

Sensitivitytonoiseandlight

Feelingsofparanoia

Strongcravingsformorecrack

What to expect

Note: combining substances can be dangerous. Proceed with caution.

!

Your peers created this harm reduction pamphlet for you. Be safe.

Production Note: Please print 40 stickers at 100%, 4.25 x 5.5”.

For more copies, go online at http://vch.eduhealth.ca or email [email protected] and quote Catalogue No. DB.500.S34

© Vancouver Coastal Health, August 2014

Page 2: heroin overdose What to do if Feels like: someone ODs Safer … · Feels like: You can’t stay awake You don’t have any energy or strength You can’t walk, can’t talk. Looks

3

Drawliquidintoneedle

Placeneedleinfilter

Takecottonfilter/pieceofunscentedtamponandplaceindrugs

Heatuntildrugbecomesliquid

6

Insertyourneedlewiththebevelup,ata30degreeangletowardsyourhead

7

Flagyourneedle:pushneedleinalittleandpullbackonplungeruntilyouseebloodintheneedle

8

Loosenyourtie

9

Injectyourdrugslowly

10

Pulloutandwithcleanhands,applypressuretoinjectionsite

11

Safelydisposeofallequipment–makeityourgigtoreturnyourrig

Prepare your drugs – crack/coke

3 Prepare your drugs – heroin

Poursterilewaterincooker/spoon

Tasteyourdrugsbeforeyouuse Alwaysusewithabuddy Useanewneedleforeachinjection Pleasedon’tbreakoffthetipofyourneedleorre-capit–it’snotsafe

Remember:twoholesinyourarmarebetterthanoneintheground.Ifyouhaven’tusedinawhile,reduceyourdose.

Protectyourselfandyourcommunity–alwaysdisposeofyourequipmentsafely

How to inject safer

Placeneedleinfilteranddrawliquidintoneedle

Placecottonfilter/pieceofunscentedtamponindrugs

Ifcrackmixtureiscloudyorhassediment,heatasneeded–DONOTBOIL

Usingclean,cappedneedle,grindcrackandascorbicacidtomix

Usingclean,cappedneedle,grindcoketomix–NONEEDTOHEAT

Poursterilewaterintocooker/spoon

Pourcokeintocooker/spoon

coke

Pourinjustenoughascorbicacidtodissolvecrack

crack

Pourdrugsincooker/spoon

Cleanyourhandswithsoapandwateroralcoholswabs

1

Chooseyourinjectionsite(lowerarmissafest.Ifyouhavetoinjectelsewhere,lowerlegthenhandareOK)

2

Cleanyourinjectionsitewithanalcoholswab

4

Tieoffwitharubbertieusingaquickrelease

5

Safer injection tips

Themostdangerousplacetoinjectisyourneck

Tomakeyourveinsmorevisible:jogonthespotordopush-upsbeforetyingoff

Ifyoucan’tseethebevel,lookforthenumbersonthesideofyourneedle,theyoftenlineupwiththebevel

injecting

Unscentedtamponsaresafetouseasfilters–donotusecigarettefilters

Useafilteronceonly–usingitmorethanoncecanleadto“cottonfever”

filters

Tiesshouldbeonfortwominutesmaximum

Ifyourhandfallsasleeporarmturnsredwhiletiedoff,thetieistootight,orhasbeenontoolong

ties

Keepinjectionsitescleanandwatchforabscesses–theycanhappenanywhereonthebody,notjustwhereyouinject

Ifyouhaveanabscess,donotpopit

Seekmedicalcarefortreatmentofabscessesorwounds–theycanleadtodangerousinfections

abscesses and wounds


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