 First aid
 This is a short guide to recognising problems and administering help when someone is in trouble after taking drugs. Remember not to panic and to get help immediately. How to get help If you think you have a problem with drugs or know someone that you think may have a problem, the first step to getting help is talking to a counsellor/health professional or someone else you can trust and chat with, such as a friend or family member. Counsellors and health professionals can provide you with confidential advice and refer you to a drug service that is right for you. The Next Step Counsellors, doctors and health professionals are able to help you if you have a problem with drugs. They have worked with lots of people and can be trusted to be completely confidential. To begin with they will do an initial assessment of your drug problem and then refer you to a service where you can get the help you need. If you have a friend or family member who has a problem with drugs, counsellors, doctors and health professionals are also able to provide you with advice on how to help the person in need. Sometimes it just helps to talk to someone who doesn’t know the person directly. What to do if someone falls ill If you're in a in any public gathering get help immediately. Be persistent and stress the urgency of the case, demanding to see the manager if necessary. Some social clubs will try and fob you off - if need be, dial for an ambulance yourself. If you know what drugs the person has taken, tell the paramedic or first-aider as soon as they arrive - this information could be very important. If you're off your face, stand back and let them get on with their job. If you're on your way home do the same - get help as soon as possible and pass on any details about what drugs have been taken to the medics. Stay with them if possible. Anxiety/Wig-out
If you're with someone on drugs and they start to experience a bad trip or get anxious and panicky, take them away from the lights and noise and sit with them in a quieter area. Chat to them, calm them down and give them support. If things are getting worse send a friend to get help. It's important to remember that different people will react differently to the same drugs, and combining drugs can bring on an unexpected bad reaction or overdose.Some people can seemingly wolf down half a pharmaceutical company and keep a grip, whilst others might wig out on half a spliff. Serious problems If you see any of the following get medical help immediately Cocaine: for those rich enough to overdose, expect them to be confused and dizzy with a dry throat. Their breathing will be erratic with short gulps followed by deep gulps. Speed: some people can collapse after overdosing on speed. Ecstasy: look out for hyperventilation, overheating and unconsciousness. Heroin: the telltale signs are slow or erratic breathing, tiny pupils, semi-consciousness with little or no response. Lips and skin can turn a deathly shade of blue with blood pressure falling. Coma and death can follow. We've seen this sight first hand, and believe us, it's not pretty. Poppers: Can cause collapse if overdone. Poisonous if swallowed. GHB: look out for convulsions, inability to breathe and even coma. Ketamine: temporary and sometimes near-total paralysis, nausea, vomiting and heavy slurring of speech. Magic Mushrooms: the risk here is from people eating the wrong mushroom resulting in poisoning. This can cause diarrhoea, vomiting, cramps, breathing difficulties, black outs and, very rarely, death. Rohypnol and other 'date-rape' drugs : slurring, sleepiness, near paralysis. Collapse If someone collapses on the floor, put him or her in the recovery position and send for help immediately. Recovery Position If they are still breathing, turn them on their front with their head sideways. Bend their upper arm and leg and straighten the other arm parallel to their leg (see picture below).  Clear a space on the floor around them and stay with them until help arrives. Only move them if absolutely necessary and keep them in the same recovery position. If they have stopped breathing and you know the correct procedure, apply mouth to mouth resuscitation. If not send for help immediately and in the meantime loosen tight clothing. Coming Down After a hard night's partying it's important to wind down and let your body recover. Smoking strong weed or skunk to help you come off uppers like ecstasy can sometimes increase the feelings of anxiety and paranoia and make matters worse. Using downers like Valium, Termazepam and heroin are risky because you're using drugs that are more physically addictive than E, speed or acid, and you might start to rely on them. Hammering down the booze isn't too clever either as the alcohol dehydrates your body making you feel twice as bad next day. It's better to drink non-alcoholic fluids and let your body come down naturally. Eat well, take it easy and relax. The next day The effects of some drugs can last well into the next day and even longer. Some users can feel disorientated, tired, irritable and even paranoid or anxious after a hard night. The day after a mental night, try and take it easy, eat well, put your feet up in front of the tele and give your body a chance to recover fully. That way you'll be fit, healthy and ready for the next session!  (what to do if you have been drugged and 'date raped') 1. Write Everything Down. Despite the fact that you may be very confused, it is a good idea to write down everything you can remember concerning what happened. Times, dates, places, everything no matter how vague it may seem. If possible write down the names or descriptions of everyone you think was involved. Try to remember what clothing was worn, what words were said, and any details about the location. As time passes your memory will become clearer, continue to write things down as and when you remember them. Do not allow anyone to hypnotise you, or to suggest to you what might have happened. This could be used as a defense by your rapist. 2. Medical Advice Despite the fact that you may be in a state of shock, do not let a doctor give you any form of sedative as it could confuse any forensic evidence which may help to support your story. 3. The Police. The police find drug related rape cases very difficult and it is important that they accept you as a credible victim. A confused approach might be misinterpreted by them. Do not go to the police by yourself. Go to your family solicitor who will be able to advise and recommend to you. Alternatively contact the Law Society who can recommend someone to you. If you would rather go with a parent or a member of your family let them read this information first. Insist that the Police Doctor examines you thoroughly , taking swabs from every aspect of your body. You may not know where you have been abused. 4. Personal Hygiene. If you have had a shower or a bath, don't worry, this does not destroy DNA testing. But whatever you do, if you have voluntary sex before you are examined, tell the doctor your partners name so it can be eliminated. Do not perm or colour your hair but ask the police surgeon to take forensic samples. It is thought that traces of date rape drugs can be found in hair and in nails. In order to ensure that the evidence and your memory of the attack is first hand, consider counseling only after you have given the police as full a report of the attack as you can. When you are ready ask your family doctor to refer you to a councilor or psychiatrist who specialises in sexual abuse. ۱۹۳۵ میں نیو یارک کے ایک اسٹاک بروکر بل ولسن نے کئ سال کی جدوجہد کے بعد شراب سے نجات پائی تو قدرت نے اس شخص کو ہمیشہ کے لیے نشے کے مریضوں کی فلاح کا ذریعہ بنا دیا ۔ ذاتی تجربے کے حوالے سے بل ولسن پر یہ انکشاف ہوا کہ جب نشے کے مریض آ پس میں مل کر جدوجہد کرتے ہیں تو نہ صرف نشے سے نجات پا لیتے ہیں بلکہ سکون کی دولت سے بھی مالا مال ہوتے ہیں ۔بل ولسن نشہ چھوڑنے کے ابتدائی دنوں میں ہی ایک اور عادی شرابی شخص ڈاکٹر باب سمتھہ سے ملا اس نے باب سمتھہ کو نشہ چھوڑنے میں مددفراہم کی ۔ باب ولسن اور ڈاکٹر سمتھہ نے چار سال کے عرصے میں سو افراد پر مشتمل ایسے لوگوں کی انجمن بنائی جو باہمی روابط اور کچھہ خاص اصولوں پر چلنے سے شراب سے نجات پا چکے تھے ۔ ۱۹۳۹ میں ان لوگوں نے ایک کتاب میں اپنے نشہ کرنے اور چھوڑنے کے تجربات بیان کئیے اس کتاب کا نام الکوحلکس انانیمس تھا۔ اس کتاب میں نشہ چھوڑنے کے شہرہ آ فاق بارہ (۱۲ )قدم پیش کیے ۔ پھر نارکوٹکس کا نشہ چھواڑنے والوں نے انہی بنیادوں پر اپنی ایک انجمن تشکیل دی اور اس ادارے کا نام نارکوٹکس انانیمس رکھا ۔ پاکستان اور دنیا بھر میں نشے میں مبتلاء افراد کی بحالی کے ادارے انہی ۱۲ قدموں کو علاج کے دوران استعمال کرتے ہیں ۔ یہ ۱۲ قدم دنیا بھر نشے کے بیماری سے نجا ت کے لیے موثر مانا جاتاھے ۔
این اے کے بارہ(۱۲) قد م (۱)۔ ہم مان گئے ہیں کہ نشہ کی بیماری کے سامنے ہم بے طاقت تھے اور اس نے ہماری زندگی کو غیرمنظم بنا دیا تھا ۔ (۲)۔ ھم جان گئے ہیں کہ ھم سے بڑھ کر کوئی طاقت ھماری صحت بحال کر سکتی ھے ۔ (۳)۔ ھم نے اپنی مرضی اور زندگی خدا کی نگہبانی میں دینے کا فیصلہ کیا ۔ (۴) ۔ ھم نے بغور اور بے خوفی سے اپنی اخلاقی حالت کا بہی کھاتہ بنایا۔ (۵)۔ ھم نے خدا سے اپنے آپ سے اور ایک انسان سے اپنی غلطیوں کی نوعیت کا اعتراف کیا ۔ (۶)۔ ھم مکمل طور پر آمادہ ھوگئے کہ خداھمارے کردار کی خامیاں دور کرے ۔ (۷) ۔ ھم نے اس سے التجا کی کہ وہ ھماری خامیوں کو دور کر دے ۔ (۸)۔ جنھیں ھم نے کبھی کسی بھی طرح کا نقصان پہنچایا ان کی فہرست بنائی اور ان سے تلافی پر آمادہ ھو گئے ۔ (۹)۔ ھم نے ان سب لوگوں سے براہ راست تلافی کی لیکن ان موقعوں پر ایسا کرنے سے باز رھے جب انھیں یا دوسروں کو نقصان پہنچنے کا خدشہ تھا ۔ (۱۰)۔ ھم اپنا تحریری جائزہ لیتے رھے اور جب بھی ھم سے غلطی ھوئی ھم فوراً مان گئے۔ (۱۱)۔ ھم نےدعا اور استغراق کے ذریعے خدا سے اپنا شعوری رابطہ مضبوط بنانا چاہا اس لیے اس کی رضا کے طلب گار رھے اور عمل کے لیے مدد گار رھے ۔ (۱۲)۔ ان قد موں کے نتیجے میں جب ھم روحانی طور پر بیدار ھو گئے ھم نے یہ پیغام نشے میں مبتلاء مریضوں تک پہنچانے کی کوشش کی اور خود اپنے معاملات میں ان ھی پر عمل پیرا رھے۔
سکون کی دعا۔ ائے ھمارے رب ھم تو ھمیں اتنا سکون دے کہ ھم ان حالات کو تسلیم کر سکیں جنھیں ھم بدل نہیں سکتے ،اتنی ھمت دے کہ ھم ان حالات کو بدل دیںجنھیں ھم بدل سکتے ھیں، اور عقل دے کہ ھم دونوں میں فرق کر سکیں (آمین) |
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