Following an emergency medical transport for alcohol overdose, first-year college students were asked to complete a survey assessing their reactions to the transport experience, their assessment of why they required this emergency response, and plans for future personal alcohol consumption. Transported students who responded to a baseline survey of all first-year students regarding expectations about alcohol are compared to first-year students overall. The 50 first-year transported students did not perceive themselves at risk for alcohol overdose prior to the event and were typically not heavy consumers of alcohol. The majority attributed the overdose event to bad decision making. Most students planned to alter the amount and the pace of their future alcohol consumption. Additional education on the circumstances of alcohol overdose may help young adults learn their own limits for safe consumption.