Suspected opioid poisoningStart Here
- Check responsiveness; shout for nearby help
- Activate the emergency response system
- Bring/prepare naloxone and an AED if available
1) Recognize & Activate
2) Is the person breathing normally?
3) Pulse Decision (≤10 seconds)
Pulse Present → Support Ventilation
- Open airway & reposition; provide rescue breathing or bag-mask ventilation
- Administer naloxone as available
No Pulse → Start CPR
- Begin high-quality CPR and use an AED as soon as ready
- Follow your BLS/cardiac arrest pathway
4) Support Ventilation (when a pulse is present)
| Action | Key points | Referral |
|---|---|---|
| Open/reposition airway | Head-tilt–chin-lift or jaw thrust if trauma suspected | Airway Management |
| Rescue breathing | 1 breath every 5–6 s (adult) with visible chest rise | Rescue Breathing |
| Bag-mask device | Ensure proper seal; use O2 if available | Bag-Mask Ventilation |
| Naloxone | Intranasal or IM per local protocol; reassess breathing | Naloxone Guide |
5) Start CPR & Use an AED (if no pulse)
- Perform compressions at the correct rate/depth; minimize pauses
- Attach and follow prompts on the AED
- Consider naloxone while continuing standard cardiac-arrest care
Continue cycles of CPR with rhythm checks per BLS guidance until recovery or handoff.
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Bottom line
In suspected opioid poisoning: recognize fast, activate help, check breathing and pulse, support ventilation with airway maneuvers and naloxone when appropriate, and start CPR/AED without delay if no pulse.
This summary is for education and does not replace clinical judgment or local protocols.