Rapid ingestion of alcohol is common and unfortunately an all too frequent cause of alcohol-related death among young people. Drinking a lot of alcohol over a short amount of time may result in an alcohol overdose. This situation is a medical emergency and requires sound decision making. The information the campus community needs to know includes how an alcohol overdose may lead to death, danger signs of an alcohol overdose, and what to do. A campus program to reduce binge drinking and alcohol overdose may include: a clear policy defining alcohol overdose as a medical emergency; educating students about the risks of an alcohol overdose; training of faculty, staff, and student leaders; and holding an alcohol awareness day. Responding to and preventing alcohol overdose must be part of ongoing campus programs designed to reduce alcohol abuse and other drug use. Understanding the risks of binge drinking and overdosing from alcohol, knowing how to respond to these situations, knowing what one drinks, counting drinks if one chooses to drink alcohol, and identifying what is a safer consumption level for each individual drinker are all necessary. Programs which address these issues directly and honestly and which also involve students in planning and implementation can save lives and needless pain. (ABL)