In a sign of the times of just how bad the opoid crisis has become, a man in Fairborn, Ohio, was being driven by paramedics to the hospital after a drug overdose. On the way he needed to receive an overdose reversal injection in order to survive. This in itself isn’t that unusual.

What is unusual is that the driver of the ambulance also had an overdose on the way and needed an overdose injections shot himself. The driver’s partner was able to stop the ambulance and administer the drug to both patients. When even the people driving overdose victims to the hospital are overdosing themselves, you know things have gotten bad.