Guidelines on when to call the Emergency Services 999 for unwell recreational drug users
Call 999 if ANY one of the following is present:
Unconsciousness – if the patient does not respond to vocal commands, requires painful stimulus (e.g. pressure across the fingernails) to respond or does not respond at all.
Significant agitation (e.g. pacing around the room) or aggression not settling within 15 minutes.
Seizures (e.g. a convulsion similar to an epileptic fit)
Breathing difficulties such as fast breathing rate which does not settle within 15 minutes.
Heart rate over 140 beats per minute not settling within 5 minutes.
Temperature over 38.5 not settling after about 5 minutes of rest, or if very flushed and feels very hot if no thermometer is available.
Blood pressure – Systolic (“upper pressure”) over 180mmHg, or Diastolic (“lower pressure”) over 110mmHg on two repeated blood pressure measurements.
Other concerns – if there are any other concerns (e.g. severe headache, chest pain).
IF IN DOUBT CALL 999
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The role of police officers with licensing responsibilities is, by working in partnership with local authority licensing officers, to ensure that pubs, clubs and festivals are operated safely and legally, and that premises operate in a way that minimises drug dealing and use of dugs
The key activities of police officers with licensing responsibilities include:
It is good practice for police officers with licensing responsibilities, their police colleagues, licensing officers and fire officers to co-ordinate their relevant work and enforcement efforts and to ensure that pubs, clubs and festivals playing music that is attractive to people who take drugs as part of their night out, receive appropriate inspection visits.
The risks of harm, and ultimately of fatalities, are highest at such premises.
A compendium of other useful resources can be found Helpful organisations which includes contact details for useful organisations, training providers and a whole host of specialist advice and information sources, many of them online.