Alcohol Poisoning: What Every Teenager Needs to Know and Exactly What to Do
Alcohol poisoning is a medical emergency that can kill, and it is more common among teenagers than most people realise. Knowing the signs and knowing what to do can genuinely save a friend's life.
Why This Article Could Save Someone's Life
Alcohol poisoning kills young people in the UK every year. Most of those deaths involve someone who was with friends at the time, and often the friends either did not recognise how serious the situation was, or they knew something was wrong but were too frightened of getting into trouble to call for help. This article exists to close both of those gaps.
If you are a teenager who goes to parties, social events, or spends time with friends who drink, this is information you need. Not because alcohol is inevitable, but because being the person who knows what to do in an emergency is a genuine, life-changing thing to be.
What Alcohol Poisoning Actually Is
Alcohol is a depressant: it slows down the central nervous system, including the parts of the brain that control breathing, heart rate, and consciousness. At low doses, these effects are mild. As blood alcohol concentration rises, the effects become more severe. At high levels, alcohol can cause breathing to slow so much that the body cannot get enough oxygen. It can cause unconsciousness from which someone cannot be woken. It can cause vomiting while unconscious, with the risk of choking. It can be fatal.
The body processes alcohol at a fixed rate, roughly one unit per hour, and there is nothing that speeds this up. Coffee, fresh air, water, and food do not sober someone up faster; they only affect how the person feels, not how much alcohol is in their blood. Someone who has drunk a dangerous amount cannot be "walked off" or sobered up; the alcohol in their system will continue to affect them regardless of what else is done.
The Signs of Alcohol Poisoning
Recognising alcohol poisoning requires knowing what to look for beyond simply being very drunk. The signs that indicate a medical emergency are specific. A person may be confused or unresponsive when you speak to them or try to wake them. Their breathing may be slow, irregular, or making a strange sound. Their skin may be pale, bluish, or cold and clammy. They may be vomiting while unconscious or semi-conscious. They may have a seizure.
Any of these signs mean call 999 immediately. Do not wait to see if they improve. Do not try to sober them up. Do not assume they will sleep it off. These signs indicate that their body is being overwhelmed by the amount of alcohol in their system and that medical intervention is needed now.
What to Do While You Wait for Help
If someone is unconscious or cannot be woken, put them in the recovery position while you wait for emergency services. The recovery position prevents them from choking if they vomit, which is a serious and common risk when someone is heavily intoxicated and unconscious.
To put someone in the recovery position: kneel beside them, place the arm closest to you at a right angle to their body with the elbow bent and palm facing upward. Bring their far arm across their chest and hold the back of their hand against their near cheek. With your other hand, pull up the far knee so the foot is flat on the floor. Keeping their hand against their cheek, pull the knee toward you so they roll onto their side facing you. Tilt their head back slightly to keep the airway open. Stay with them until emergency services arrive.
Keep talking to the person, even if they are not responding. Keep them warm with a coat or blanket if available. Do not leave them alone.
You Will Not Get in Trouble for Calling 999
One of the most dangerous barriers to calling for help in these situations is the fear of getting into trouble. If you are at a party and someone is in a medical emergency, the thought of police, of parents finding out, of consequences, can feel overwhelming. This fear is understandable. It is also something that has cost lives.
When you call 999, the paramedics who come are there to save the person's life. That is their only purpose at that moment. They are not there to get you in trouble or to report your party to anyone. Medical emergencies are handled by medical professionals, and the care of the person who is unwell is the priority.
Legally, there is no crime in calling for medical help for someone who is ill. The risk of not calling is far greater than any risk of calling. Many places and many events operate on the understanding that getting help is always the right thing to do, and anyone who has called 999 to help a friend who needed it has done something genuinely courageous and important.
Alcohol and the Developing Brain
Beyond the immediate risks, regular heavy drinking during adolescence has specific and well-documented effects on the developing brain. The brain continues developing until the mid-twenties, and the areas that develop last, including those involved in decision-making, impulse control, and long-term planning, are particularly vulnerable to alcohol's effects.
Teenagers who drink heavily regularly are more likely to develop alcohol dependence in adulthood, more likely to experience anxiety and depression, and more likely to perform less well academically and professionally. These are not scare statistics invented to put teenagers off drinking; they are findings from longitudinal research that has followed young people over decades.
This does not mean that any single drinking experience causes lasting damage. It means that the pattern of drinking, including how much, how often, and starting at what age, has consequences that extend well beyond the morning after. Understanding this gives you information to make your own choices with, rather than simply following what the people around you are doing.