Sharon has 21+ years of experience as a qualified Emergency Care Nurse registered with the Australian Health Practitioner Regulation Agency (APHRA) and 12+ years as a First Aid Trainer.
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Alcohol poisoning is a life-threatening emergency, and knowing the right steps to take can mean the difference between a close call and a tragedy.
But what exactly should you do when someone’s overindulged to the point of danger? The key lies in a series of essential actions that you’ll need to take swiftly and calmly.
Let’s explore the critical steps that could save a life.

Key Takeaways
• Call emergency services immediately and provide clear information about the person’s condition and location.
• Keep the person awake and in a recovery position to prevent choking if vomiting occurs.
• Monitor vital signs, including breathing rate, pulse, and skin colour, while waiting for help.
• Maintain body temperature with blankets, avoiding direct heat sources to prevent burns.
• Stay with the person continuously, offering support and being prepared to perform CPR if needed.

Recognise Alcohol Poisoning Signs
In order to provide effective aid for alcohol poisoning, you must first identify its key symptoms. Recognising these signs is essential for a timely emergency response.
Watch for mental confusion, vomiting, seizures, slow or irregular breathing, and pale or blue-tinged skin. These are clear indicators that alcohol’s effects have reached dangerous levels.
Pay attention to the person’s level of consciousness. If they’re difficult to wake or unresponsive, it’s a serious red flag. Hypothermia is another concern; their body may feel unusually cold to the touch. In severe cases, you might notice they’ve lost control of their bladder or bowels.
Don’t assume someone will ‘sleep it off.’ Alcohol poisoning can be life-threatening, and symptoms may worsen even after drinking has stopped. If you suspect alcohol poisoning, don’t wait. Call emergency services immediately.
While waiting for help, keep the person awake if possible and in a sitting position to prevent choking. Never leave them alone, as their condition could rapidly deteriorate. Your quick action in recognising these signs and seeking help can be the difference between life and death.
First Aid For Alcohol Poisoning

Call Emergency Services Immediately
Once you’ve identified signs of alcohol poisoning, don’t hesitate to call emergency services right away. Every second counts in this critical situation, and professional medical help is essential. Dial your local emergency number (such as 000 in Australia) immediately.
When you reach the operator, stay calm and provide clear information. Give them your exact location, including address and any relevant landmarks. Describe the person’s condition, mentioning that you suspect alcohol poisoning. Answer all questions honestly and follow any instructions given.
If you’re at a party or in a group, designate someone to meet the emergency responders and guide them to the affected person. While waiting, gather important information like the person’s name, age, and any known medical conditions. If possible, find out what and how much they’ve consumed.
Don’t attempt to treat the person yourself unless you have specific medical training. Well-intentioned actions like giving them coffee, making them walk, or inducing vomiting can be dangerous. Instead, keep the person safe until help arrives.
Keep the Person Awake
While waiting for emergency services, you should try to keep the person with suspected alcohol poisoning awake and conscious. This is essential for monitoring their condition and preventing them from losing consciousness, which can be dangerous. Speak to them in a clear, firm voice and encourage them to stay alert. If they’re sitting, help them remain upright to reduce the risk of choking if they vomit.
Gently shake their shoulders or lightly tap their face to stimulate them. Don’t let them ‘sleep it off,’ as this can lead to serious complications. Engage them in simple conversation or ask basic questions to keep their mind active. If possible, have them sip water slowly to prevent dehydration.
As part of alcohol awareness and peer intervention, it’s important to recognise the signs of alcohol poisoning and take action. Keep the person engaged until professional help arrives.
However, don’t try to make them walk, as this could lead to falls and injuries. If they become unresponsive despite your efforts, place them in the recovery position and continue monitoring their breathing until emergency services arrive.
Maintain Body Temperature
When dealing with alcohol poisoning, it’s essential to maintain the person’s body temperature.
You should prevent hypothermia by covering them with blankets, but be careful not to overheat them.
Avoid exposing the person to extreme temperatures, whether hot or cold, as their body may struggle to regulate its internal temperature effectively.
Prevent Hypothermia
Maintaining body temperature is essential when assisting someone with alcohol poisoning to prevent hypothermia. Once in the bloodstream, alcohol can lower the body’s core temperature, making the person more susceptible to hypothermia, especially in cold environments. To guarantee proper temperature regulation, you’ll need to take several steps.
First, move the person to a warm, dry place if possible. If outdoors, seek shelter immediately. Remove any wet clothing and replace it with dry, warm layers. Wrap them in blankets or coats, focusing on covering the head, neck, and torso. If available, use thermal blankets for added insulation.
Monitor their body temperature regularly. If it drops below 95°F (35°C), seek immediate medical attention. In mild cases, you can use passive rewarming techniques. Encourage the person to curl up in a fetal position to conserve body heat. If conscious and able, provide them with warm, non-alcoholic beverages.
Avoid using direct heat sources like hot water bottles or heating pads, as these can cause burns or rapid temperature changes. Instead, focus on gradual warming methods. By prioritising hypothermia prevention, you’ll greatly improve the person’s chances of recovery from alcohol poisoning.
Use Blankets Wisely
Proper use of blankets is crucial for maintaining body temperature in someone suffering from alcohol poisoning. When selecting blankets, consider their warmth retention properties. Wool blankets are excellent for trapping heat, while synthetic materials like fleece offer lightweight warmth. Avoid using electric blankets, as they may cause burns or interfere with monitoring the person’s condition.
Layer blankets strategically to maximise warmth retention. Start with a thin, breathable layer directly on the person, then add thicker blankets on top. This method allows for easy adjustment of temperature as needed. Be cautious not to overheat the individual, as alcohol can impair the body’s ability to regulate temperature.
Monitor the person’s body temperature regularly and adjust the blankets accordingly. If they’re shivering, add more layers. If they’re sweating or feel hot to the touch, remove a layer. Confirm the blankets cover the entire body, including the feet and shoulders, but avoid covering the face.
Avoid Extreme Temperatures
Beyond blanket management, you’ll need to carefully control the overall environment to maintain the victim’s body temperature within a safe range. Alcohol poisoning can impair the body’s natural temperature regulation mechanisms, making the person vulnerable to both hypothermia and hyperthermia. Avoid exposing the individual to extreme temperatures, as this can exacerbate their condition.
To effectively manage the victim’s body temperature:
- Keep the room at a moderate temperature, ideally between 20-22°C (68-72°F). This range helps prevent both heat exposure and excessive cooling.
- Remove any restrictive clothing that might trap heat or impede circulation. Loose, breathable garments are preferable.
- Monitor the person’s skin temperature regularly. If they feel cold to the touch, provide gentle warming. If they’re hot, use light, cool compresses on pulse points.
Don’t attempt to rapidly change their body temperature with ice baths or hot showers, as these can shock the system. Instead, focus on gradual, controlled temperature adjustments.
Position for Safe Breathing

To prevent choking, place the person on their side with their ear pressed against the ground and their top leg bent for support. This position, known as the recovery position, is essential for airway management in alcohol poisoning cases. It helps keep the airway open and allows any vomit to drain from the mouth, reducing the risk of aspiration.
Monitor the person’s breathing closely. If you notice irregular or shallow breaths, be prepared to perform rescue breathing techniques. Verify their head is slightly tilted back to maintain an open airway. Remove any obstructions from their mouth, such as gum or food.
Don’t leave the person alone in this position. They may roll onto their back, increasing the risk of choking. Stay with them, regularly checking their breathing and responsiveness. If they start to come around, don’t encourage them to sit up too quickly, as this can cause dizziness or vomiting.
Monitor Vital Signs

While maintaining the person in the recovery position, you’ll need to closely monitor their essential signs for any dangerous changes. Critical signs are vital indicators of the body’s basic functions and can signal worsening alcohol poisoning.
Focus on these key monitoring techniques:
- Breathing rate: Count the number of breaths per minute. Normal adult breathing is 12-20 breaths per minute. Slower or irregular breathing can indicate severe intoxication.
- Pulse: Check the pulse at the wrist or neck. A normal resting heart rate is 60-100 beats per minute. An extremely slow, fast, or irregular pulse requires immediate medical attention.
- Skin colour and temperature: Look for pale, bluish, or clammy skin, which may indicate poor circulation or hypothermia.
Stay vigilant for changes in consciousness, such as inability to wake up or seizures. These are signs of severe alcohol poisoning requiring emergency care.
If you’re unsure how to check critical signs or interpret the results, don’t hesitate to call emergency services. They can guide you through the process and determine if immediate medical intervention is necessary.
Prevent Choking Hazards
Preventing choking hazards is essential when caring for someone with alcohol poisoning, as their impaired gag reflex increases the risk of aspiration. To minimise this danger, you’ll need to employ several prevention strategies.
First, position the person on their side, not their back. This ‘recovery position’ helps prevent choking if they vomit. Make certain their head is turned slightly downward to allow any fluid to drain from their mouth.
Don’t give them anything to eat or drink, as this can lead to choking or vomiting. Remove any objects from their mouth, such as gum or food. If they’re wearing tight clothing around the neck or chest, loosen it to prevent restriction of their airway.
Stay vigilant for signs of choking, such as gasping, coughing, or turning blue. If they begin to choke, be prepared to perform the Heimlich manoeuvre. Don’t leave them alone, as their condition can worsen rapidly.
Provide Necessary Information to Medical Responders
When When emergency responders arrive, you’ll need to provide them with critical information about the person experiencing alcohol poisoning. This information is vital for effective first aid and treatment.
Be prepared to share details about the individual’s alcohol consumption, including the type and quantity of alcohol consumed, as well as the time frame in which it was ingested.
Additionally, responders will need to know about any other substances the person may have taken, including medications or recreational drugs. These can interact with alcohol and complicate treatment.
Provide a brief medical history if you’re aware of any relevant conditions or allergies.
To guarantee you’re providing thorough information, focus on these key points:
- Alcohol consumption details: type, quantity, and timing
- Other substances ingested, if any
- Relevant medical history, including allergies or conditions
Stay With the Person
One essential step in aiding someone with alcohol poisoning is to stay with them until emergency help arrives. This act of social responsibility can make a vital difference in the person’s outcome. Don’t leave them alone, even if they’ve fallen asleep or appear to be improving. Their condition can rapidly deteriorate, and your presence guarantees immediate action if needed.
While waiting for help, continue monitoring their breathing and consciousness. If they’re awake, try to keep them sitting up or in a recovery position to prevent choking. Offer emotional support by speaking calmly and reassuringly. Your presence can help reduce their anxiety and confusion.
Be prepared to act quickly if their condition worsens. If they stop breathing or lose consciousness, start CPR immediately if you’re trained. Your swift action could save their life.
Frequently Asked Questions
What Role Does Hydration Play in Alcohol Poisoning Recovery?
Hydration is crucial during alcohol poisoning recovery as it helps the body flush out toxins and prevents dehydration caused by excessive alcohol consumption. While waiting for emergency services, encourage the person to take small sips of water if they are conscious and able to swallow safely. Avoid giving coffee or energy drinks, as they can worsen dehydration.
Can Certain Medications Worsen Alcohol Poisoning Symptoms?
Yes, certain medications, particularly sedatives, painkillers, or antihistamines, can interact with alcohol and intensify its effects. These interactions may increase the risk of respiratory depression, unconsciousness, or other complications. If you suspect medication interaction, inform emergency responders immediately and provide details about any drugs the person may have taken.
How Can Alcohol Poisoning Be Prevented at Social Events?
Preventing alcohol poisoning involves promoting safe drinking habits. Encourage moderation, provide plenty of non-alcoholic drink options, and offer food to slow alcohol absorption. Assign a designated sober monitor at events to watch for signs of overconsumption and take swift action if someone appears in distress.