Signs Of Opioid Overdose

Something can be done….signs may include:

  • Person won’t wake up
  • No response to yelling
  • Clammy, cool skin
  • Blue lips or fingernails
  • Shallow, slow breathing
  • Pinpoint pupils
  • Slow pulse or heart rate
  • Seizure or convulsions
  • No response to knuckles being rubbed hard on breast bone


  • Death from overdose is RARELY instantaneous (15%) – usually occurs over a 1 to 3 hour period as breathing and heart rate decreases.
  • About 60% of OD occurs in the presence of others
  • In 79% of cases bystanders do nothing!