EM Cases · Salicylate poisoning
Salicylate resus — gas, bicarb, dialysis call
OSCE resus on urine alkalinisation and EXTRIP indications in acute salicylate poisoning.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Young adult acute aspirin overdose with mixed acid-base disorder progressing toward dialysis criteria.
Station brief
Format. Resus station 11 minutes. You lead ED care.
References5ShowHide
- [2]Juurlink DN, Gosselin S, Kielstein JT, et al. Extracorporeal Treatment for Salicylate Poisoning: Systematic Review and Recommendations From the EXTRIP Workgroup. Ann Emerg Med, 2015.PMID 25986310
- [3]Proudfoot AT, Krenzelok EP, Vale JA Position Paper on urine alkalinization. J Toxicol Clin Toxicol, 2004.PMID 15083932
- [4]Sidlak AM, Spadaro A, Koyfman A, et al. Acute Salicylate Toxicity: A Narrative Review for Emergency Clinicians. Cureus, 2025.PMID 41049912
- [5]Stolbach AI, Hoffman RS, Nelson LS Mechanical ventilation was associated with acidemia in a case series of salicylate-poisoned patients. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2008.PMID 18821862
- [6]Hoegberg LCG, Gosselin S, Buckley NA, et al. Recommendations from the Clinical Toxicology Recommendations Collaborative on the administration of activated charcoal in acute oral overdose. Clinical toxicology (Philadelphia, Pa.), 2026.PMID 41906697