• You inject. Although overdosing still happens when drugs like heroin are smoked or swallowed.
• You do not have tolerance (you’re body is not used to taking the drug).
• You have lost tolerance because of a break from the drug, for example, after time in hospital.
• You use depressant (downer) drugs like heroin. Especially if you take other drugs and/or alcohol with heroin.

• Carry out the simple Red Cross First Aid steps detailed below.
• Call 999 and ask for an ambulance. Tell the operator that someone is unconscious and finding breathing difficult. Follow the operator’s instructions.
• Tell the ambulance crew what the person has taken - be honest. The crew may be carrying drugs to treat an overdose.
• Don't worry about the police and being arrested. The police, like everyone else, would rather someone avoids death and your honesty may save someone's life. Even if you are arrested, there are trained drug workers available at police stations in Surrey who will be able to help you.

• Danger – are you or the casualty in danger?
• Response – is the casualty conscious?
• Airway – is the airway open?
• Breathing – is the casualty breathing? If not dial 999.

• Treat any injuries.

• Treat any life threatening injuries.
• Place in the recovery position.

• Give 2 breaths.
• Assess circulation by checking pulse and looking for signs of recovery for 10 seconds.

• Continue ventilations.
• Check for circulation every minute.

• Start chest compressions and combine with artificial ventilations.
• Repeat until help arrives.

• Open airway by head tilt and chin lift.
• Look, listen and feel for breathing.

Breathing for the Casualty

• Remove any obvious obstructions from the mouth.
• Ensure good seals at a) the nostrils (with finger and thumb) b) the mouth (with yours).
• Take a deep breath and blow into the casualty's mouth until chest rises.
• Remove lips. Allow chest to fall. Continue at a rate of 10 breaths per minute if pulse present.

Circulation

• If chest compressions are required, find the lower half of the breastbone.
• Compress the chest 4-5 cm at a rate of 100 per minute.
• After every 15 compressions, give 2 breaths.
• Continue until help arrives or the casualty starts to breathe again.

• Do make sure the club or venue is well ventilated, gives clubbers access to free water and has a chill out room - somewhere that is quieter and cool where people can rest up and get a drink of water. It should also have trained first-aiders on the staff
• Do take a break from the dancing at least once an hour and go somewhere cool
• Do take regular non-alcoholic drinks like fruit juice or water. Not tea or coffee though, which can make you pee thus increasing the risk of dehydration
• Do stop if you feel ill or suffer from any of the above symptoms
• Don't DRINK ALCOHOL!!!!!!!!!!! Booze and Ecstasy are a very dangerous combination
• Don't drink too much water. This may sound silly but it's true. Drinking water at the rate of about a pint an hour should be just right. But if someone is getting dehydrated or ill then pouring pints and pints of water in to them all at once can overwhelm their kidneys and they could die from too much rather than too little water. Give them small sips often and CALL an AMBULANCE. Don't be afraid to tell the crew and doctors and nurses what the person has taken - it could be important
• Don't take too much Ecstasy. It really is true that less is more with Ecstasy. Taking it too often can mean that people take too much to get the same effect. Or, because it sometimes takes a while for the effect to come on, people think its not working and take another tab. The more you take, the more the risks of trouble