Call if someone is unconscious and can't be woken · breathing is slow, irregular or has stopped, or lips look blue · is having a seizure lasting over 5 minutes · is burning-up hot and confused (heatstroke) · is rigid, twitching or feverish after MDMA (serotonin syndrome).
While you wait: if they are unconscious but breathing, put them in the recovery position (on their side) and tilt the head back to keep the airway open. If they are not breathing, start CPR (30 chest compressions to 2 breaths; hands-only is fine). For a suspected opioid overdose, give naloxone if you have it, then still call. Stay with them and tell responders what was taken (they are bound by confidentiality).
Evidence-based guide for physiological maintenance during extended exertion (dancing/festivals).
Select a context below to view specific protocol adjustments.
Current Mode
Sober / Baseline
🧠
Sober / Baseline
Baseline
Context
This protocol applies to a long night out without any
substance, typically 4 to 12+ hours of dancing and sustained physical exertion in warm, crowded
environments with disrupted or absent sleep. Even fully sober, this is a significant physiological
load.
We read the sources on this page and then made a judgement call.
That is all these bars are. Nobody measured them.
The reading comes from the sources under Common Risks above, plus PsychonautWiki,
Erowid, TripSit, DanceSafe and the published literature. A person makes the call,
so treat a bar as a rough sketch, never as a number.
They are not a score. Do not add them up and do not rank two drugs
by how much colour they show. Each bar says only how much of that one thing this
drug tends to bring. Dose, your body, mixing and setting change all of it. The one
researched number here is the expert harm ranking above the chart, from
Nutt, King & Phillips (2010).
Scale: None, Low, Moderate, High, Very High. Deliberately
coarse, because the judgement behind it has no finer precision. Bars are drawn at
the middle of their band, so two drugs in the same band look the same.
The six risks:
Overdose / Lethality: dying from the drug
itself, through overdose, stopped breathing, or a small gap between a normal
dose and a dangerous one.
Neurotoxicity: lasting damage to nerve tissue,
which builds up over repeated use.
Cardiotoxicity: strain and damage to the heart
and blood vessels.
Fluid & heat balance: losing control of
fluids, salts or body temperature. This can fail in both directions: too little
water, or too much of it.
Sleep Disruption: how strongly it blocks or
spoils sleep around the time you use.
Compulsion: loss of control over your own
behaviour, covering both disinhibition and the pull to keep redosing.
Higher doses raise every one of these, especially overdose. The
sourced detail sits in Common Risks above and in the Protocol and Combinations
tabs.
Read one bar at a time. Do not add them up, and do not rank two drugs by how much
colour they show.
Our own estimate, not measured data, and not scaled by the dose above.
⚠️ Do not mix: dangerous combinations
Drug combinations will be displayed here once you select a substance.
Drug Combinations ⚗️
Interaction data from TripSit Drug Combination Chart.
This is a quick reference. Always do your own research for your specific situation.
Protocol Timeline 🕐
This section breaks down the recommended actions into chronological phases.
It answers critical questions regarding nutrition, hydration, and recovery.
Displaying standard universal
practices.