Episode 147.0 – Salicylate Toxicity

Core EM - Emergency Medicine Podcast

English - May 28, 2018 11:00 - 10 minutes - 6.93 MB - ★★★★★ - 128 ratings
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Previous Episode: Episode 146.0 – Morning Report Pearls V

Next Episode: Episode 148.0 – ACEP VTE Clinical Policy 2018

This episode reviews the identification and management of patients with salicylate toxicity.

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Tags: Aspirin, Salicylate, Toxicology

Show Notes

Take Home Points

Always consider salicylate toxicity:

In patients with tachypnea, hyperpnea, AMS and clear lungs
In the presence of an anion gap metabolic acidosis with a respiratory alkalosis

Treat salicylate toxicity by alkalinizing the blood and urine to increase excretion
Avoid intubation until absolutely necessary. If you do have to intubate, minimize apneic time and consider awake intubation and nake sure your ventilator settings match the patient’s necessary high minute ventilation
Think about chronic salicylate toxicity in unexplained altered mental status, tachypnea or metabolic acidosis in elderly
Know indications for hemodialysis in salicylate toxic patients

REBEL EM: Salicylate Toxicity
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