Emergency

Overdose signs

• Severe disorientation; unable to move or speak (deep dissociation / "k-hole")
• Complete loss of coordination — cannot stand or walk safely
• Vomiting while incapacitated (choking / aspiration risk)
• Very high blood pressure; fast heart rate
• Slow or shallow breathing at high doses (especially mixed with depressants)
• Unconsciousness; rarely, seizures

First response

• Move them somewhere safe, away from stairs, water, roads, and sharp edges — they cannot protect themselves
• Place in the recovery position if vomiting or unconscious (aspiration is a key risk)
• Stay with them and reassure calmly; keep the environment quiet
• If breathing is slow/shallow or they are unresponsive, call emergency services
• Do not let them wander; do not leave them alone
• Be ready to give rescue breaths / CPR

For the medical team

Tell the dispatcher: dissociative suspected, what was taken, how much, and when — especially whether it was mixed with opioids, alcohol, or other depressants (respiratory risk), or if breathing is affected. The main risks are injury and choking on vomit while incapacitated, and respiratory depression when mixed.

Resolution

Effects wear off with time in a safe, monitored setting. The main dangers are physical injury and aspiration while incapacitated, and respiratory depression when combined with other depressants — not the dissociation itself.

Every recorded risk