• Person is known to have consumed large quantities of alcohol
• Person is unconscious and cannot be awakened
• Person has cold, clammy, unusually pale or bluish skin
• Person is breathing slowly or irregularly, less than 8 times a minute or 10 seconds or more between breaths
• Person vomits while passed out and does not wake up during or after
1. Try to wake the person. Try to wake the person by calling their name, slapping their face, or pinching their skin. See if you can get a reaction that will wake the person up. Remember, just because they wake up doesn't mean they are fine. Alcohol stays in the bloodstream until it is processed and just because you can get some reaction at 1:00 AM doesn't mean they will still be conscious by 2:00 AM. Do not leave the person alone.
2. Check the person's breathing. Evaluate if the person has slow or irregular breaths; less than 8 times per minute or more than 10 seconds between breaths. If they are not conscious or barely able to wake up, we need to make sure they don't choke on their own vomit.
3. Turn the person on his/her side to prevent choking. If they are not conscious or barely able to wake up, we begin by making sure they don't choke on their vomit. Start by putting their arm above their head. Bend their opposite knee and roll them toward you so that they are laying on their side, preferably their left side. Putting the person on their left side will slow the delivery of alcohol to the small intestine and also allows more air to surface from the right lung. This way, if they do throw up, the vomit will have a better chance of coming out.
4. Do not leave the person alone. Although it might be inconvenient, it is important to stay with someone who is extremely drunk and barely conscious. Continue to monitor their breathing, responsiveness, skin and lip color, etc.
5. If any of signs of alcohol poisoning exist, call 911 or follow your campus emergency procedures, immediately. Hesitating can mean the difference between life and death.
Stand by your decision. Stand up for your friendship. Do the right thing based on your best judgment and your knowledge of alcohol poisoning. You are always doing the right thing by getting help.