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Hacks for Overdose, Overamp, & Medical Emergencies

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In addition to the necessity for policies for service and supply management, community agreements, grievance, and misconduct processes, another essential set of policies harm reduction leaders consistently recommended were protocols for dealing with potential overdose, overamp, and medical emergencies such as heart attack or stroke.

These are rare events, but as community health workers, many harm reduction leaders feel it’s necessary for harm reduction workers to be ready to respond to these kinds of emergencies.

For further guidance on OD and medical emergency protocols please see the section on De-Escalation In the Moment.

Featured Hacks

These featured hacks highlight creative, practical solutions from harm reduction leaders on the ground. From DIY tools to clever workarounds, each one reflects the ingenuity, care, and real-world experience that keeps this movement alive. 

Edie Springer’s Worker Stances for Clients Who Use Drugs & Harm Reduction Worker: Best Practices

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Harm reduction immediately resonated for Edie, who was herself a former drug user and methadone patient. Faced with the devastation of HIV’s impact on drug-using communities, Edie fully embraced harm reduction and trained hundreds of harm reduction workers who have carried her legacy with them. She developed these worker stances in 1996 and they have been shared among many of us in the harm reduction community for generations.
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Hacks for Empathetic Active Listening

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Once you have grounded yourself during an escalated situation, next engage in active listening with the person who is agitated. This can seem counterintuitive or difficult when you are dealing with somebody who is, for example, screaming at you, and it may feel like you’re rewarding them for being completely irrational. But it is key to getting them more centered and grounded so they’re less agitated and less likely to become a danger to themselves or others.
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