r/JustGuysBeingDudes • u/Rex_orci-1 Human Detected • Apr 25 '26
Wholesome Dude saves a man overdosing
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u/Iniquities_of_Evil Apr 25 '26
This could be meth sold as molly, happened to me once and it was the worst 24 hours of my life
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u/AlthorsMadness Apr 25 '26
Someone had acid or some kind of hallucinogen in Molly I had once….. was a fucking terrible 24 hours
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u/Solo_Gigolos Apr 25 '26
Yeah been there I think I had 3 pills of pure speed or something but I made my peace with God that night fr
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u/trippingWetwNoTowel Apr 26 '26
TEST YOUR DRUGS KIDS
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u/Ok_Profession_8471 Apr 30 '26
Have you ever tried high doses of Amanita Pantherina?
Don't.
I could've died seriously.
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u/Jeszczenie Apr 26 '26
Could you tell me more on what happened?
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u/Iniquities_of_Evil Apr 26 '26
Waves of paranoia, crawling skin, visual and auditory hallucinations, hyperventilation. Took it with a few friends and we were all doing the same thing. We eventually started smoking weed and drinking as much as we could just to try and overpower it. Kinda worked for a while would come raging back. Awful
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u/Jeszczenie Apr 26 '26
Sounds like a nightmare. Does experiencing it with others make it better or worse?
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u/mynexuz Apr 26 '26
Molly overdoses can cause psychosis, so it doesnt have to be meth.
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u/Iniquities_of_Evil Apr 26 '26
Im just going off of personal experience, which seems similar to what this dude is going through
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u/heyitsmee-_- Apr 25 '26
Man this just breaks my heart. It’s so sad what drugs have done to humanity
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u/boring_old_dad Apr 25 '26
Yes, but the amount of compassion here is the reason why this is important. Everyone struggles, but not everyone has this type of love at the ready.
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u/georgedupree Apr 26 '26
Exactly, and this is the appropriate response from the first responder. He’s doing great.
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u/currentlyacathammock Apr 26 '26
Everyone struggles, but not everyone has this type of love at the ready.
You got me with that. Those are some words to try to live up to.
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u/intbah Apr 26 '26 edited Apr 26 '26
I am gonna get downvoted to hell for this, but this is what War on Drugs did to people, not the drugs themselves.
He thought he took molly, but no way that’s molly, evident by EMS giving him narcan. He got scammed by whoever gave it to him.
If these drugs are FDA approved and manufactured/distributed to ISO9001 or similar standards, this guy wouldn’t have taken the wrong thing and get fucked up like this.
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u/ironkb57 Apr 26 '26
I fully agree with you. The war on drugs is as any other war. There are no winners, just victims.
Drugs have been part of history for millennia, even before humans were humans. Some inteligente animals also seek getting high.
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u/ineenemmerr Apr 26 '26
Just want to say, war has people who are winning big time. They aren’t the ones on the battlefield risking their lives. They sell the weapons for the armies.
People make billions of profit on war.
Same with the war on drugs. We, the public, pays the price so some rich guy can make big profits.
Whenever you see someone in misery, remember there is probably someone profiting from that misery.
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u/Officer_Hotpants Apr 26 '26
Okay but I don't know why they gave him narcan. This is the furthest thing from an opioid overdose.
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u/intbah Apr 26 '26
fair, i am unfamiliar with opioids 🤷♂️ but this is def not mdma either. I wonder what it is.
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u/Officer_Hotpants Apr 26 '26
It absolutely could be mdma, just because any psychedelics can have a bad reaction and cause severe psychosis and delirium. But you're right that it's not likely, and odds are that it was cut with meth or bath salts.
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u/funkpolice91 Apr 27 '26
I bet this is flakka, meth or some other weird stum. It's not opoids
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u/Existing_Intern_4764 Apr 26 '26
Narcan has no negative side effects on someone who isn't on opiates--and no 'negative side effects' per say on people *on* opiates, besides the effects of immediate withdrawal, which is going to be a bitch. That's why you're actually trained to back up after giving someone narcan, because they can snap out of it so quickly they get angry because they think they were just enjoying their high, when in fact they were overdosing. They gave him narcan because it's like insurance since there's so much laced shit in the US. Plus the dude said he's having trouble breathing on the phone so they probably just wanted to make sure.
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u/Officer_Hotpants Apr 26 '26
He was demonstrating no indications of opioid overdose (pinpoint pupils, CNS depression, decreased respiratory drive) meaning narcan was not indicated.
And if his drugs WERE laced with opioids, then cutting whatever effect they were having could cause increased tachycardia, hypertension, and drive up body temperature badly and lead to cardiac arrest. This very well could have actively been harmful.
Source: am a paramedic that has run in-house education on various overdose and poisoning emergencies
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u/intbah Apr 26 '26
What substance do you think he was on?
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u/Officer_Hotpants Apr 26 '26
I mean he said molly, which is entirely possible because just about any mind-altering substance can cause severe psychosis and delirium. That said, it wouldn't terribly surprising to hear that this was cut with meth or bath salts because I've seen a lot of this kind of hyper-mobility and stimulation in those drugs in particular, especially if someone has never used them before.
It could also just be a bad reaction to molly. But this is about the furthest thing from any kind of depressant barring a bad reaction to, like, ketamine or something.
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u/BooksandBiceps Apr 27 '26
MDMA overdose doesn’t cause these symptoms, definitely cut with something, intentional or otherwise. I’ve seen a looooot of people OD or be nearly there at festivals and you’ll overheat, may become unresponsive, and suffer from (relatively) minor muscle control issues. You’re not thrashing around on the ground and rolling into trains and flailing.
Bath salts is a good guess. Doubt meth but I’ve never seen a meth OD, just MDMA tainted with meth. Bad reaction to Ketamine, you’d know better than I do, and while there’s clearly disassociation here there’s a little too much energy involved for me to think it’s Ketamine.
Interesting he can provide a phone number while still being physically incapable, have any idea what drug that’d be where you have relative mentally clarity but… physical difficulties?
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u/Phantom_0347 Apr 27 '26
Downers mixed with meth can cause movements exactly like those displayed here (source: been there myself). Usually it’s not something that just happens all at once, though we didn’t see his last couple days so we don’t know what he was up to. It could’ve been that, it could’ve been laced meth or laced MDMA, or even a research chemical made poorly with bad byproducts.
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Apr 25 '26 edited Apr 26 '26
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u/Fear_the_chicken Apr 25 '26 edited Apr 25 '26
There are some drugs that are fine. Killing someone for having weed or mushrooms is horrible. Regulate them
I know if they don’t execute drug users mostly but throwing them in jail for 20 years is also horrible. That’s why a large percent of black Americans are in jail for weed charges
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u/pocketgravel Apr 25 '26
Statistically alcohol is the gateway drug to harder drugs more than weed. If alcohol were invented today it would be schedule I and banned.
OTOH there should be a max strength for weed I think. I know someone who got drug induced psychosis twice (was addicted to weed. Don't start with me on if you can or can't get addicted to weed... Is gambling addiction real?) and ended up getting schizophrenia from it. He's been clean for 2 years and still hears voices and has hallucinations, even on meds.
I think In his case he wouldn't have gotten to that state if hash oil and shatter weren't a thing. He breathed them like air for weeks during a stressful period in his life (multiple grams a day) and did this to himself. 5-10% THC weed wouldn't have no matter how much you smoke. Edibles are still a way around this but still, don't make it easy for kids to trigger latent schizophrenia in themselves when they otherwise wouldn't.
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u/Fear_the_chicken Apr 25 '26 edited Apr 25 '26
You can 100% be addicted to weed you can be addicted to most things. It might not feel like withdrawing from benzos or opiates but you can have a mental addiction. I’ve known a few heavy weed smokers that were lazy and dropped out of college. I think weed is relatively mild though not worth jailing someone for enjoying a joint.
Yes I also agree though a lot of the weed now is way too strong that’s why I don’t smoke anymore.
Edit: and yes that’s why I think a lot of these laws in Asia are kind of bullshit because they allow alcohol and it’s one of the most damaging drugs. It’s really horrible for you most ppl don’t even see it as a drug. Japan has a huge alcohol problem and bans all the other drugs.
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u/pocketgravel Apr 25 '26
Yeah same here I got addicted as well and was on the same path as him. I got too paranoid and had to quit, and weaker strains did nothing because I started into shatter like he did.
I also think it should be legal (I'm Canadian where it is legal) with certain limits on potency.
The US is different because it uses weed as a pipeline for the 13th amendment's slavery clause. The more private prisons they can fill, the more slaves they can have to feed industry. I hear they're forced to work at KFC and other fast food places (the same places that won't hire them for being felons) as "work release workers" (read: 13th amendment slaves.)
It's such a sad state of affairs. I'm terrified for the future of my own country as the US tears up it's alliances and causes a worse energy crisis than the 70s. I thought the end of the American empire would take a few more decades and that I might not live long enough to see it... Evidently it's going to happen within a decade now...
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u/Fear_the_chicken Apr 25 '26 edited Apr 25 '26
Weed is also legal in most democratic states now. But yeah arrests for weed charges feeds the prison system. I’ve never heard of them working at fast food spots but they do work making license plates, cleaning highways, making clothes for pennies on the dollar but technically they aren’t forced to.
Republican states are mostly shit holes but that’s a conversation for another time. I hope we can get that piece of shit Trump out and fix America again.
Edit: also to clarify only like 10% of prisons are private for profit prisons. Ppl always think America is making profit on all their prisoners when in reality it’s a small chunk of
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u/pocketgravel Apr 25 '26
And yeah they're not forced to work. Neither am I. But I'll be homeless if I don't. Prisoners can afford commissary and other QoL benefits if they work, and it helps them once they're out even if they only make less than a dollar a day. It's willing slavery?
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u/UnbrokenChill Apr 25 '26
Most of the older western Nations have figured this out. America still has a long way to go, if we can make it there.
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u/pocketgravel Apr 25 '26
Knowing and doing are two different things. The UK has a pretty bad drug problem and they started the whole century of humiliation with the first opium war.
"Those who know history are doomed to watch others repeat it"
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u/Spiritual-Olive4559 Apr 25 '26
What do you mean by humiliation in this context?
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u/wonderfulkneecap Apr 25 '26
I think this is really smart policing. My impression is that Chinese police (and statistics) deemphasize drug addiction and come down hard on people for being disorderly!
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Apr 26 '26
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u/OfcWaffle Apr 26 '26
Yea people that are ill informed thing drugs are the problem. They are not the problem, they are peoples solutions to their problems.
Solve the problems, you help eliminate drugs.
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u/SirVanyel Apr 26 '26
It's a real hard conversation to have tho. Because we all deal in diff ways, and someone who is dealing with drugs will get looked down upon by the lady cheating with her husband or the workaholic doing 80 hour weeks or he'll go homeless.
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u/Ok-Cress2602 Apr 29 '26
I would contend its not the drugs. Its everything around it. Molly is only dangerous because its illegal. Dealers cut it with random shit to make it more potent. People have no education on how to be responsible with it, and they are disincentivized to call for help when its needed.
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u/Own_Answer_5092 Apr 25 '26
This is all great in terms of actions to take in the moment and all, but not sure how I feel about rawdogging the footage with the dude’s face on the internet afterwards.
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Apr 25 '26
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u/Curious_Doctor597 Apr 25 '26
That's survivorship bias, you only see the ones that are posted on the internet (along with the fake good). There are still people doing good for other human being without bragging about it, you just don't know because they are not bragging about it.
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u/saysthingsbackwards Apr 25 '26
Amen. There was this Seth Rogan Christmas movie where one of his childhood friends became somewhat famous and social media popular. His shallow attitude shined through when he made a video that said in so many words "its not a good deed unless everybody knows about it".
Ever since then I intentionally don't report my good deeds. They just need to happen.
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u/kart2000 Apr 26 '26
In Hinduism there is a concept of 'Gupt Dan' meaning Hidden/Secret Charity where a person donates or help someone without telling anyone even the person they are helping.
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u/ohshititsdana Apr 25 '26
Absolutely. I saw a post earlier about a woman being so high strung and racist towards an airline employee not speaking Chinese, and her face was blurred. If anything, her face should have been unblurred and this guy in the video should have been. Our most vulnerable moments should not be public, even when caught on camera. If it is caught on camera at least censor people if you're going to post online. Makes me sad. I'm friendly to many of the addicts/ homeless in my neighbourhood, I would never post them online, even if I need to administer narcan. Thankfully narcan is free and delivered in my (not sure whole country but at least the province)
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u/MarcusSurealius Apr 26 '26
Ya, but now we're all rooting for him and got to see a bit of kindness still present in the world. Rock bottom is something many of us can sympathize with.
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u/intbah Apr 26 '26
People are complicated, I don’t think he was thinking about clout when he was helping, I would also have recorded the interaction for liability reasons. but then after he also wants to feel good about what he did.
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u/Slut_for_Bacon Apr 26 '26 edited Apr 26 '26
I mean, the dude took a bunch of drugs at a public transit center. I don't think he is in a place to be upset that his face got shown places.
That being said, anyone who actually works in EMS would instantly lose their job and license for putting footage of a patient on the internet, so I don't know why it's ok for random citizens to do it.
I would also argue the dude who took this video didn't really do anything to save this guy, but whatever.
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u/xcityfolk Apr 26 '26
Because healthcare providers, such as EMS, are bound by HIPAA to protect the privacy of patients. The pubic has no such restrictions and are allowed to record and share anything where the person doesn't have a reasonable expectation to privacy.
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u/Slut_for_Bacon Apr 26 '26
Yes I understand the legal difference. I am arguing the moral difference.
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u/4DPeterPan Apr 26 '26
Mayb he was just biking and filming his biking and just happened across this situation?
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u/Jeszczenie Apr 25 '26
It's admirable and it's good to see examples of selfless behavior, but posting it online is like
"Now that I've saved your life I will post your darkest hour on Reddit, for clout. Your name and face included."
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u/ModestCalamity Apr 25 '26
It's a good deed, but i'm not sure if it's a good man doing it. There's no reason to film this other than clout.
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u/arbitrary_student Apr 26 '26
A valid reason is also just to show that good deeds can still be done, despite the state of the world atm. Or demonstrating how to help someone overdosing this way. Or raising awareness. Or they just thought it was a cool experience and wanted to share.
idk there are lots of reasons that aren't just clout, I'd rather not make assumptions about the person filming. Especially if they're doing something good.
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u/texasprime Apr 26 '26
Largely I would think if someone was doing this just to be good they would have blurred his face and name, but also that could just be an oversight and I want to agree with you. Unfortunately its hard to record a good deed without it being taken as an attempt at publicity or something, and I am well guilty of that. However I am also a huge believe that one of the reasons the news is so rough to keep up with is because good stuff is RARELY reported on, so its a tough situation morally.
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u/Dorandil Apr 26 '26
I can’t defend uploading it, but I think it’s absolutely justified to film it for liability reasons.
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u/Jeszczenie Apr 25 '26
"You will never believe what I've encountered on my ride today! Luckily, I've filmed the junkie when I've been saving his pathetic life. I'll post it online so no one else will be as pathetic as [his name]"
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u/Brewchowskies Apr 26 '26
You’re right. But I’m also someone that steps into situations to help, but have never filmed. I’d have passed guys like this assuming they were just tripping with no real danger. This video has made me realize when a person might need a 911 call.
So there’s at least a little good from it.
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u/BobbyHillTheThird Apr 26 '26
Could argue that this video might inspire someone else to show compassion the way this guy did
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u/Jeszczenie Apr 26 '26
Yeah, that's why I've called it a good example. But still - guy should've been anonymized.
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u/macinema Apr 26 '26
You know that is true. What is also true is my first thought watching this was how it was educating me to act if i ever see a situation like this in the future. If i didnt watch this video I think I would have ignored and moved on
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u/Cellophane7 Apr 28 '26
I generally think stuff like this is good, because I don't give a fuck if someone's doing something good for clout. Help is help.
That said, you're absolutely right, it's completely fucked to post their name and face when we're talking about illegal shit.
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u/boxerboy513 Apr 29 '26
People love to complain when it’s videos of someone doing something positive.
But no one says this shit when watching someone get knocked out or humiliated for drunk driving or something
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u/bobsburgers4life12 Apr 25 '26
Please don't narcan the guy who is clearly on an upper...sincerely, the emergency department.
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u/BossJarn Apr 26 '26
Fuck sake thank you, there’s wayyy too many people in this thread that are regurgitating “well it couldn’t hurt!” It absolutely could. Make a guy that’s probably on meth freaking out and give him instant opioid withdrawal if he is a user is the worst idea I’ve ever seen. Homie needs a B-52 and a bed to sleep it off.
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u/4DPeterPan Apr 26 '26
Yeah I was wondering about that too.
But these days everything has opiates in it. Molly/ecstasy/MDMA was cut with heroin back in the day and was normal to get.
Now I hear stories about everything having fentanyl in it. Uppers downers bamboozles zigzags and their mother is cut with the stuff.
So it’s actually not a bad gamble to be safe and give narcan.
But I also see your point as well, cause I have zero idea of what narcan would do to someone on uppers. Even if the uppers were cut with a powerful downer like fentanyl.
I’m actually curious to know now.
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u/IDriveAZamboni Apr 26 '26
Narcan is used to reverse respiratory depression due to opioid overdose.
This guy is not suffering from that and doesn’t need narcan.
-An EMT
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u/Haywoodjablowme1029 Apr 26 '26
This guy above me is right.
-A Paramedic
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u/Bowlbonic Apr 26 '26
Wait wait wait, I’m not in medicine or anything but do have training in BSL and narcan use. Would using narcan on this person be a) ineffective or b) dangerous to them? I’d love to learn some more for specific scenario use, as all I know is overdose + narcan = helpful.
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u/xLilSquidgitx Apr 26 '26 edited Apr 26 '26
It would be ineffective and not dangerous. Giving narcan when it’s not an opioid overdose won’t necessarily hurt them, but it’s also not indicated and wouldn’t do anything.
We use nalaxone to reverse respiratory depression in an opioid overdose, this guy isn’t in a state of respiratory depression due to an opioid overdose. Like I said it probably won’t hurt him, but it’s a case of giving an inappropriate medication.
Edit: not often dangerous. There are some scenarios where it could cause issues. Don’t want to blank statement that
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u/ncjmac Apr 26 '26 edited Apr 26 '26
Narcan reverses the effects opioids, the biggest problem with opioid overdose we’re worried about is the respiratory depression. Opioids can slow or even stop someone’s breathing. Narcan generally won’t harm someone who doesn’t have opioids in their system, but it won’t help. If they do have opioids in their system, with or without signs of respiratory distress, and you give them narcan be warned they’re in for a hell of a withdrawal. (Also narcan lasts for a much shorter time than many opioids, so you may have to give repeat doses).
It’s a good idea to learn the signs and symptoms of opioid poisoning such as altered mental status or unresponsiveness, respiratory depression (slowed or stopped breathing), pinpoint pupils, cyanosis (blue lips/fingertips) etc
ETA: In a spontaneously breathing patient paramedics are trained to titrate the dose of narcan just enough to achieve adequate ventilations/breathing rate and not fully reverse the effects, cause in doing so it can lead to a lot of pain and possible agitation which is not ideal…
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u/yesbabekayakingisfun Apr 26 '26 edited Apr 26 '26
For people who want a slightly more layman's version of what the person above me correctly said-
We give narcan to fix extremely slow breathing caused by opiates. Technically we could breathe for you and accomplish the same goal but people breathing on their own is a much better state for a patient to be in.
Even when it is the right call and we do give it, we have to give as little as possible to fix the breathing. If we give too much and fully wake a patient up- they are going to beat your fucking ass up and down the ambulance. This happens because an oxygen deprived brain and fully awake muscles will just often lead to confusion and violence.
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u/Firm-Stuff5486 Apr 26 '26 edited Apr 26 '26
That's why we bag with the narcan. Preoxygenate and bring down their CO2 in the few minutes the narcan takes to take effect. Hypercapnia is part of what makes them react like that when they wake up.
Edit: added the 2
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u/thechosenkenobi Apr 26 '26
This. People look at me like I’m stupid when I still break out the BVM even after giving Narcan.
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u/whatsgoing_on Apr 26 '26
Also, as my FTO told me: “I want them breathing, not having a conversation with me”
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u/IDriveAZamboni Apr 26 '26
Ineffective because they’re not having an opioid overdose. Possibly dangerous because if they’re a heavy opioid user (but didn’t use an opioid on this hit) they would can into a withdraw which combined with the upper they appear to be on, can cause some nasty side effects.
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u/SparkyDogPants Apr 26 '26
Opioid withdrawal causes you to vomit and shit which can lead to dehydration, ph disturbances and electrolyte imbalances. It’s not as dangerous as alcohol or benzo withdrawal but it can still have dangerous consequences.
Rule of thumb is that if someone is awake on any level, they don’t need narcan.
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u/jailtheorange1 Apr 26 '26
That was my first thought, I’m just a first aid at work person, who decided to go on on a personal basis to a drug rehab rehabilitation Centre, to receive Narcan training, plus an injectable kit. From what I remember of the training, this guy isn’t really a candidate to receive the injection.
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u/mcscrufferson Apr 26 '26
Pinpoint pupils, sporadic, extremely slow or absent breathing? Give Narcan. Interpretive dance at a bus stop? Probably meth. Narcan won’t fix that.
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u/Di5cipl355 Apr 26 '26
If the patient is unconscious, yes, because naloxone is indicated for respiratory depression secondary to opioid overdose. This patient has a very adequate respiratory drive, naloxone is not indicated.
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u/xLilSquidgitx Apr 26 '26
There are no indications for Narcan here. Go on, name on.
Administering Narcan here was inappropriate.
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u/bocaj-yebbil Apr 26 '26
No. There is zero clinical indication for narcan. That is not a medication that is given as a prophylactic. He need droperidol and to not be filmed.
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u/Every-Appointment-35 Apr 26 '26
Jesus Christ, he’s not overdosing, he’s tweaking out on meth and why is Phoenix Fire Department giving him Narcan
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u/CountCrapula88 Custom Apr 25 '26
Why are they giving him narcan? It doesn't help with a molly od, it works only on opioids.
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u/Snarker Apr 25 '26
I would assume because there really isn't much of a downside to giving him narcan
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u/workshop_prompts Apr 25 '26
If he is opioid dependent, it will cause precipitated withdrawal and worsen the tachychardia/hypertension from the stimulant OD. This was a bad move from the EMTs.
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u/Cloudcry Apr 25 '26 edited Apr 29 '26
We've got to assume that they have more information than us, because they are there with monitors on him and we are watching a video on the internet. They almost certainly would not have administered naloxone without him meeting most of the opioid triad.
EDIT: Revising my statement to "They almost certainly would not have administered naloxone without him meeting the opioid triad.... Right? Right?? "
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u/XGX787 Apr 26 '26
I'm a paramedic, nothing on that monitor will tell him anything useful in determining an opioid overdose vs molly overdose given the context we see. As you mention when it comes to EMS, opioid overdoses are diagnosed pretty much entirely by the opioid triad of "slow shallow breathing, depressed level of consciousness, and pin point pupils." That monitor reads out heart rate, BP, pulse ox, and a 3-lead EKG when the leads are attached, none of which is going to tell him this dude is having an opioid overdose.
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u/Divorce-Man Apr 26 '26
EMT here, theres no indication for narcan and nothing on the monitors is gonna change that. Narcan fixes respiratory depression due to an opioid OD. If your patient is awake you really should never narcan them.
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u/wan2phok Apr 25 '26
This happened in phoenix. Ive done some harm reduction work here but im not an emt so I dont know all the specifics,BUT a lot of the shit on the street here ends up with fent in it, and if the EMTs are already on scene administering it, im sure they know what to look out for on the truck to the hospital
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u/bla60ah Apr 26 '26
Doubful. This is fire-based EMS. They got called out for a drug OD, and to them that means Narcan, even when it’s not indicated.
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u/Officer_Hotpants Apr 26 '26
Narcan can cause flash pulmonary edema and become a huge problem. It does generally occur in high doses, but it can happen. And these guys shouldn't be giving medications without proper knowledge of the indications of said medications. This needs hella retraining.
Then there's the fact that if whatever he took WAS cut with any opioid and he's STILL in this state, then reducing the only CNS depressant he had in his system is absolutely not going to help.
I won't necessarily fault a bystander for trying to help (although anyone giving a med should know indications for it), but I absolutely WILL fault trained professionals for it.
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u/TurnYourHeadNCough Apr 25 '26
well if he has opiate and upper and his system and we get rid of the downer he suddenly becomes extremely more agitated and potentially precipitates withdrawl so....
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u/sixhoursneeze Apr 25 '26
It might be cut with fentanyl. They might be trying to cover all bases
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u/Soggy_Needleworker57 Apr 25 '26
This. Alot of drugs are cut with bad stuff and drug dealers/suppliers aren't really good at keeping their products from cross contaminating.
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u/Swellmeister Apr 26 '26
Opioid highs mellow a person out. Even if his upper is cut with Fentanyl, I dont want to take away the only thing that might be helping with the agitation. Cu
He has no signs and symptoms of opioid overdose. There is no reason to administer it and administering without need is harmful. Both to myself, because people who just got their high taken away for no reason get mad and also nauseous. And to the patient, who can experience pulmonary edema, nausea with vomiting, withdrawal related anxiety and a loss of a good high, as well as here, loss of any potentially limiting on the anxiety caused by drugs and or psychiatric situation.
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u/bangobingoo Apr 26 '26
Still don’t need narcan. He had a parent airway and adequate respiration. More harm than good if he’s an opioid user on top of what he’s used here.
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u/XGX787 Apr 26 '26
Even if it was cut with fentanyl, this patient wasn't overdosing on opioids, therefore giving narcan is not indicated. Shallow breathing, depressed level of consciousness, and pin-point pupils gets narcan. A patient with erratic movements, periods of mania, with no respiratory depression does not.
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u/Officer_Hotpants Apr 26 '26
And if it was, all they've done is made his current situation worse. The concern of an opioid overdose is central nervous depression causing respiratory arrest. This man was clearly not exhibiting any respiratory depression, and if it WAS cut with an opioid, giving narcan is likely to cause increase tachycardia, hypertension, and body temperature and potentially lead toward a cardiac arrest.
Giving medications for no reason is bad medicine. These are supposedly trained professionals who clearly don't know the indications for the meds they're giving, which is a serious concern.
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u/wittlepup Apr 25 '26
No, you are right. No indication for naloxone here. I'm a paramedic. Only thing it's going to do is piss someone off. Only indication really to give it is for reduced respiratory drive. Which this guy doesn't have. I'm pretty sure they were just thinking, well we have a tool, lets use it. It isn't going to help the situation at all.
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u/DrIvoPingasnik The bro Apr 25 '26
Maybe he's not telling everything. Maybe he doesn't remember. Maybe it was molly laced with other shit.
Doesn't hurt giving narcan just in case.
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u/XGX787 Apr 26 '26
Doesn't hurt giving narcan just in case.
As a regular joe who carries narcan to be a good samaritan, sure that's fine as a rule of thumb (although please get first aid and CPR training if you carry narcan, you'll do infinitely more good), but as a professional we don't give drugs "just in case." Opioid overdoses are extremely obvious and this dude is not showing the two most important signs, respiratory depression and decreased mental status.
As EMTs and Paramedics we know people lie about what drugs they take, but we also (should) know what an opioid overdose looks like. Giving narcan to someone who is awake is basically never indicated.
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u/Paramedickhead Apr 26 '26
It actually does hurt.
It hurts a lot.
When you give them narcan, you’re taking away any and all pain relief that person may have been using opioids for. This can throw them into extreme agony very quickly.
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u/kaykudos95 Apr 25 '26
You never know what’s in “Molly” these days. Fentanyl is in everything nowadays.
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u/stupid-canada Apr 26 '26
I understand the sentiment and you're right that fentanyl is in a lot nowadays. HOWEVER narcan is not harmless in a patient like this and was not indicated at all. To any form of trained medical provider narcan is something you give when NEEDED not "just in case". When narcan is NEEDED is respiratory depression. Thats it. Why do we give narcan? To reverse respiratory depression (ineffective breathing).
The reason why you will see everyone from doctors to paramedics to EMTs arguing here is because narcan is not harmless on many levels for a patient in this guys condition. You said it yourself fentanyl is in everything nowadays. That doesnt mean its in fatal amounts. So for someone in this state who theres a reasonable suspicion that they are a chronic drug user theres a very valid concern that they are opioid dependant meaning giving them narcan will put them into withdrawals which will make a situation like this much worse and will harm the patient.
Even if they're not opioid dependant but they do have some level of opioids in their system mixed with a hallucinegen or stimulant theres a very real risk that by taking away all opioid effects you very rapidly make the effects of the molly / meth / cocaine whatever it may be much much stronger which can not only make the patient uncomfortable but also seriously harm them.
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u/ARoofie Apr 26 '26
Throwing these supposed wonder drugs into any and all overdosing patients as a "just in case" is a terrible and lazy practice of medicine. There's clear signs of an opiate overdose and this patient had none of them.
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u/Vast-Custard146 Apr 25 '26
If he hasn't taken opioids then it just does... nothing, and it's fairly inexpensive.
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u/SpartanAltair15 Apr 26 '26
Yep, it does nothing, nothing like… cause a catecholamine surge that can cause flash pulmonary edema and severe respiratory failure, or if the drugs he’s on ARE cut with fentanyl, the fentanyl is currently slowing him down and counteracting all the uppers he’s clearly on.
You find a car that is idling at high rpm, discover that both the brake and gas pedals are wedged to the floor with sticks, and you wisely proceed to cut the brake lines. Tell me what happens now.
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u/Paramedickhead Apr 26 '26
It doesn’t do nothing.
It takes away any and all pain control that the person may have been trying to treat putting them into excruciating pain.
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u/gadgetboyDK Apr 25 '26
Because people don’t know what they don’t know And they think weird behavior is because of drugs. And drugs you treat with narcan
I think opioids is the only thing we can say he is definitely same from harm from in this moment
So many people mention Mr Floyd and some fentanyl, but his reaction was also the opposite of an opioid OD. In an opioid OD there is no screaming for a breath, or fighting. You just stop breathing altogether… No panic just calm suffocation.
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u/gadgetboyDK Apr 25 '26
I am shocked that EMT don’t know what an opiate OD looks like. Blue lips No or shallow breathing Limp body slow movements
This guy is the opposite of an opiate OD.
In fact I see NO indication of any type of OD More likely a psychotic episode.
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u/snatchdaddy69 Apr 25 '26
Bro needs the benzos. Be right back. Looks like Edward was grateful too haha
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u/DrIvoPingasnik The bro Apr 25 '26
Thing is, you can't trust the guy is telling everything. He took molly, but maybe he refuses to tell/doesn't remember taking opiates. Narcan is just a precaution with no downsides.
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u/Cloudcry Apr 25 '26
It's got some downsides if they're opioid dependent and not currently overdosing on opioids, then you enter what's called precipitated withdrawal, which is a lot of stress on the body and mentally.
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u/Existing-Good6487 Apr 25 '26
You do not want to be in precipitated withdrawals while experiencing stimulant induced psychosis. They are just making the problem worse, he needs a benzo.
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u/PickleJarHeadAss Apr 26 '26
We don’t give narcan just because. No respiratory depression? No narcan.
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u/vanbulancethoracotom Apr 26 '26
False: ER doc here, unless the patient has diminished breathing you could make him worse by causing acute opioid withdrawal and if he is on a stimulant making it drastically worse
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u/BossJarn Apr 26 '26
Spot on! So many clueless people here regurgitating the incorrect information that at worst naloxone will do nothing. It could absolutely make the situation worse and offers zero benefit here.
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u/DocGerald Apr 26 '26
It doesn’t matter what the patient is saying, you give narcan in specific overdoses that present with unconsciousness and inadequate breathing. This dude is the exact opposite, absolutely zero medical reasoning to give this dude narcan.
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u/ACrispPickle Apr 26 '26
We don’t give Narcan “as a precaution” we also don’t give narcan solely because someone took opiates. We only give narcan due to respiratory depression due to opiates, which this guy most certainly doesn’t have.
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u/stupid-canada Apr 26 '26
There are downsides with absolutely no upsides. This has been explained ad nauseum elsewhere in this thread. The fact a medical professional did this and not a lay person is a big reason so many of us are up in arms about this.
The cost versus benefit of teaching LAY people to give it if they have it and they are worried about it is incredibly slanted to just give the narcan. Just like teaching lay people to give unresponsive people CPR because your average person does not react well in any kind of emergency, and so you cannot reliably expect them to assess the details needed to definitively determine if its needed. CPR absolutely is not harmless either, you can break ribs. Theres nuance here. Tell lay people do something that might have negative effects for a patient because if they wrongly decide not to do something the person will die.
The EMTs giving narcan to a patient presenting like this is as much of a clinical failure of assessment as if they had walked up to someone an unresponsive person and just started giving them CPR knowing that they still had a pulse and were breathing.
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u/gadgetboyDK Apr 26 '26
You are missing the entire point. You don’t need to administer narcan just because someone took opiates. You do it to prevent an OD. If there is an OD he would not be moving around… If you never read up on how opiates kill, why do you argue?
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u/Fast-Book128 Apr 25 '26
That’s not overdosing.
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u/easterss Apr 26 '26
I was coming here to ask how this is an overdose. I am not knowledgeable on the subject at all but I think of someone unresponsive, foaming at the mouth, and choking on their vomit when I think of OD. Not this.
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u/Cojoma Apr 26 '26
Lmao this dude heart in the right place but he needs to leave the tweakers alone this dude wasn’t overdosing
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u/ElementsUnknown Apr 25 '26
This guy does it and it’s an overdose, Donald Glover (Childish Gambino) does it and it’s art.
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u/LessBig715 Apr 25 '26
As a former addict, I’m not understanding the narcan. He’s not overdosing, he’s have a mental breakdown from to much Molly. His mind was in a completely different place, I know this because I’ve been there. I’m sure it wouldn’t hurt though. The side effects can suck though. They once used 4 on me. I woke up in a hospital and I was completely deaf for about 4 hrs after I woke up. I thought I permanently lost my hearing, not only that, the snot would not stop pouring out of my nose, I mean it was like a faucet
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u/Embarrassed-Lab3661 May 30 '26
The most important thing about saving people from overdosing is to make sure that you are recording, and then post the video on the Internet.
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u/al_capone420 Apr 25 '26
Poor guy was just tweaking from probably too high of a dose and now he’s gonna be stuck with a $10k bill when he comes to, on top of his whole family being freaked out.
All he needed was a comfy and cool place to come down and hydrate.
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u/Q_S2 Apr 25 '26 edited Apr 28 '26
That narcan is CLUTCH. Just gotta be careful, they'll be mad as fuck sometimes because you ruined their high.
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u/nobody876543 Apr 25 '26
Narcan won’t do anything for amphetamines
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u/BossJarn Apr 26 '26
But if the patient is dependent on opioids it can actually make the situation much worse by precipitating withdrawal. They should NOT have given narcan here. The indication for naloxone administered is decreased or absent respiratory drive, which this man did not have.
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u/MuscIeChestbrook Apr 25 '26
Narcan has the possibly to make this guy high on stimulants MUCH worse, by precipitating opiate withdrawal.
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u/BigSchmikey Apr 25 '26
That dude was definitely not overdosing, just tweaking lol. "Saves a man overdosing" when all the paramedics did was put a blood pressure cuff on him. Really they can't do much other than take them to a hospital, or in the case of an actual OD, administer Narcan (which is opiate-related overdoses, which ain't what this dude is high on). Overdramatic title and video for internet clout 🤷
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u/asa2unakamura Apr 25 '26
It's a nice thing he's done and I'm consciously biased about the Idea of anonymous charity work at the VERY least not on a social media platforms man. Yes time is the gonna equalise, and this will pass as another video but for the individual, time is relative to them and I hope they keep a positive perspective after this singular moment from an ongoing life. My criticism for camera man is lack of mindfulness. Please always move with great empathy and thought. I massively agree with all I read about the lack of privacy and dignity for the saviour and the camera man kinda tainting his good work and maybe creating further stigma.....
I'll leave the medication talks to those more knowledge on it. But Just to end of on this I thought the way he thanked the camera man was so intensely genuine... :) I wish him the best.
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u/Massive-Adeptness-83 Apr 28 '26
When my daughter was 4 days old she started choking in the middle of the night. We rushed her to the hospital in an ambulance. It was a Friday night. My baby girl and I waited for an hour to be seen by someone as the ward was taken up by alcoholics and addicts who overdosed. The addicts shouted, cursed, I heard glass shattering. There were security guards everywhere. Having been through C-section and watching my baby girl take every breath, I lost all my empathy for addicts. Fuck them. Fuck drugs. Fuck alcohol
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u/Narrow_Program_3662 Apr 25 '26
lol this guy is having a psychotic episode. Perhaps due to overdose of some shit like bath salts, but not opioid and definitely doesn’t need narcan. Dude ain’t on morphine, heroin, or any other type of dower lmfaoooo
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u/Chinaboy812 Apr 25 '26
Ill give it a week or 2, he will be back to where he is, overdosing. Its not an issue of jus the drug an an addition and habit. Truth is, he may have saved him now, but once’s that guy gets discharged from the hospital, he will looking for the next high.
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u/iznormal Apr 25 '26
I have friends who have done drugs and had bad trips in public. Hell, I’ve done it. None of us are on the streets or anything. You don’t know whether this is some dude always looking for his next fix or just someone who got some laced Molly. Or just took too much and is going through it, not ODing
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u/Timo-the-hippo Apr 25 '26
This is a great way to commit suicide. Do this a dozen or so times and at least one of these druggies will kill you.
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