A collapse in the club can have many causes — usually a combination:
- Heat + dehydration (see separate scenarios)
- Stimulant hyperthermia
- Hyponatremia with MDMA + lots of water
- GHB/GBL G-lock
- Alcohol intoxication, possibly with other sedatives
- Vasovagal syncope from exhaustion
Telling them apart isn’t relevant in the moment — the first 60 seconds are triage:
- Breathing okay? If no: respiratory arrest protocol.
- Responsive? If no: recovery position and 112.
- Responsive, but pale/hot/confused? Out of the heat, cool down, observe.
In Berlin clubs, most awareness teams (e.g. SONAR-trained) are trained for these situations. If they’re on site: talk to awareness instead of doing triage yourself.
Police note (D-002): Rendering assistance is a duty under § 323c StGB (German Criminal Code). levelll cannot rule out prosecution, but anyone who gets help is acting within the law.