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EM Clerkship

Salicylate Overdose

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 11 June 2017

⏱️ 10 minutes

🧾️ Download transcript

Summary

Salicylate toxicity is the great toxicologic mimicker!!! Step 1: When to Suspect Salicylate Overdose Signs of CNS stimulation Tachypnea Hyperthermia Altered mental status Signs of GI irritation Nausea/Vomiting Abdominal pain Common “mimicker” Sepsis Acute abdomen Step 2: Testing Plan Electrolyte panel Anion gap metabolic acidosis Sodium – Chloride – Bicarb Normal anion gap (AG) is […]

Transcript

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0:00.0

Hello, med students. My name is Zach Olson and thank you for downloading this week's

0:06.4

episode of the EM Clerkship Podcast. Last week, we discussed the approach to acetaminopin

0:17.5

overdose, the king of all toxic exposures, and acetyl cysteine.

0:21.5

That was the big takeaway.

0:22.6

That was the life-saving cure that you needed to remember.

0:27.8

This week we are discussing the queen of all tox overdoses.

0:33.7

Soliculate and aspirin overdose. Okay, we have a 22-year-old male possible aspirin overdose.

0:46.3

Found at home by the roommate who advised a history of depression.

0:50.3

He's on unknown meds for anxiety and depression.

0:53.3

Maybe he took half the bottle.

0:56.0

It was altered mental status when we found in response to pain and loud, verbal only.

1:02.0

BP 160 over 100.

1:05.0

Pulse of 120, respiration is 20 all the way here.

1:08.0

Gucosal 140.

1:09.0

We did find alcohol on scene as well.

1:11.6

Does anybody have any questions?

1:15.8

Okay, thank you.

1:20.6

This week, I want you to notice something.

1:23.3

With Tylenol, we were screening patients who were asymptomatic to see if they had sky-high

1:30.2

levels of acetaminophen in their blood before they moved into that symptomatic liver

1:35.4

death phase.

1:37.1

That was easy.

...

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