Emergency

Life-threatening? Call 112 immediately. (US: 911 · UK: 999)

Emergency

Call 112. Calling for help is required by law (German Criminal Code § 323c). levelll cannot promise immunity from criminal or administrative consequences.

Important

This information does not replace professional medical assessment. In case of breathing problems, unconsciousness, seizures, severe overheating, or unclear situations: call 112 immediately.

Unconscious and breathing shallowly

  1. 1. Recovery position — now. Head tilted back, mouth open so vomit can drain.
  2. 2. Call 112. Tell them what was taken if you know. Don't lie out of fear — paramedics need to know what's active.
  3. 3. Stay there until help arrives. Keep airways clear, monitor breathing.

Not breathing

  1. 1. Call 112 or have someone call.
  2. 2. CPR: 30 chest compressions, center of chest, ~5–6 cm deep, 100–120/min.
  3. 3. Don't stop until paramedics take over. Rescue breaths optional if you know how.

Opioid overdose (Heroin, Fentanyl, Morphine)

Signs: blue-grey lips, pinpoint pupils, shallow breathing, unresponsive.

Naloxone reverses opioid effects immediately. OTC in Germany since 2024 (nasal spray „Nyxoid"). If on hand: use it.

Without naloxone: 112, recovery position, keep airways open, CPR if needed. Stay there.

GHB / GBL — „G-Lock"

Signs: sudden unconsciousness, can't be woken, shallow breathing. Combined with alcohol or benzos: life-threatening.

112 immediately. Recovery position. Never leave alone. There is no antidote — only breathing support.

Half-life ~30 min — if breathing stable, person will sleep it off. But: breathing is the critical question.

Stimulant hyperthermia (MDMA, Cocaine, Speed)

Signs: body temp over 39 °C / 102 °F, seizures, confusion, rash, rapid pulse.

112. Cool the person actively — cold cloths on armpits, groin, neck. Sip water in small amounts (not liters — hyponatremia risk).

Bad trip (psychedelics)

If conscious, responsive, no medical emergency:

  • Quiet, familiar place. Dim light.
  • Stay present, talk calmly, don't argue.
  • Remind: „This passes. You took something. This is the substance."
  • If aggressive or self-harming: 112.

All 25 scenarios

This overview lists the 25 mandatory scenarios for substance emergencies. Content is being released step by step after editorial and medical review.

Berlin contact points

  • DROBS Berlin — drug counseling, low-threshold
  • Eclipse e.V. — drug checking, counseling
  • SONAR — drug checking pilot (Senate-funded)