Episode 147.0 – Salicylate Toxicity - a podcast by Core EM

from 2018-05-28T11:00:02

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







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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



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Wiki EM: Salicylate Toxicity

Rebel EM: Acute Salicylate Toxicity, Mechanical Ventilation, and Hemodialysis

* Mosier JM et al. The Physiologically Difficult Airway. The western journal of emergency medicine. 16(7):1109-17. 2015. PMID: 26759664







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