Core EM - Emergency Medicine Podcast

Episode 147.0 – Salicylate Toxicity

Listen Later

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

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_147_0_Final_Cut.m4a
Download
4 Comments
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

      • Read More

      • REBEL EM: Salicylate Toxicity
      • LITFL: Salicylates
      • 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

        • Read More
        ...more
        View all episodesView all episodes
        Download on the App Store
        Core EM - Emergency Medicine PodcastBy Core EM
        • 4.5
        • 4.5
        • 4.5
        • 4.5
        • 4.5

        4.5

        237 ratings

        More shows like Core EM - Emergency Medicine Podcast

        View all
        EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

        EMCrit FOAM Feed

        1,864 Listeners

        Emergency Medicine Cases by Dr. Anton Helman

        Emergency Medicine Cases

        539 Listeners

        JAMA Clinical Reviews by JAMA Network

        JAMA Clinical Reviews

        496 Listeners

        The Resus Room by Simon Laing, Rob Fenwick & James Yates

        The Resus Room

        104 Listeners

        EM Clerkship by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

        EM Clerkship

        808 Listeners

        The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

        The Curbsiders Internal Medicine Podcast

        3,336 Listeners

        Emergency Medical Minute by Emergency Medical Minute

        Emergency Medical Minute

        257 Listeners

        Core IM | Internal Medicine Podcast by Core IM Team

        Core IM | Internal Medicine Podcast

        1,095 Listeners

        The Internet Book of Critical Care Podcast by Adam Thomas & Josh Farkas

        The Internet Book of Critical Care Podcast

        694 Listeners

        The Clinical Problem Solvers by The Clinical Problem Solvers

        The Clinical Problem Solvers

        519 Listeners

        Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

        Harrison's PodClass: Internal Medicine Cases and Board Prep

        349 Listeners

        Run the List by Walker Redd, Emily Gutowski, Navin Kumar, Joyce Zhou, Blake Smith

        Run the List

        248 Listeners

        Critical Care Scenarios by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

        Critical Care Scenarios

        249 Listeners

        The Curious Clinicians by The Curious Clinicians

        The Curious Clinicians

        366 Listeners

        Critical Care Time by Critical Care Time Podcast

        Critical Care Time

        236 Listeners